• World Neurosurg · Dec 2017

    Review Case Reports

    Non-traumatic multiple vertebral compression fractures induced by primary hyperparathyroidism: A case report and literature review.

    • Man Kyu Choi and Sung Min Kim.
    • Department of Neurosurgery, Kyung Hee University Hospital, Seoul, South Korea.
    • World Neurosurg. 2017 Dec 1; 108: 992.e5-992.e9.

    BackgroundPrimary hyperparathyroidism (PHPT) is one of the causes of osteoporosis and is known to increase the fracture risk of bone. However, multiple vertebral compression fracture because of PHPT is extremely rare.Case DescriptionA case of acute multiple vertebral compression fracture in a patient with PHPT is described. The fracture occurred suddenly without trauma. The patient had a low T score (-4.4), and serum hypercalcemia and phosphatemia were evident. On examination, serum parathyroid hormone was found to be elevated, and PHPT was diagnosed by neck sonography and technetium-99m methoxyisobutylisonitrile scan. Once the patient was diagnosed with PHPT, we performed subtotal parathyroidectomy and corrective spinal surgery for multiple compression fractures.ConclusionsWhen a patient has multiple compression fractures without any trauma history and a very low T score, the presence of other underlying diseases should be investigated.Copyright © 2017 Elsevier Inc. All rights reserved.

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