第１２胸椎圧迫骨折による遅発注神経障害に対し保存的に治療した１例

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  • A Case of 12th Vertebral Fracture with Late Neuropathy Treated Conservatively

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We report a case of 12th thoracic vertebral fracture with late neuropathy that was treated conservatively. A 69-year-old man fell from a roof and suffered severe back pain. He was admitted to the hospital of his family physician. After one month, his back pain did not improve, and he was referred to our hospital. The fracture was diagnosed on a radiograph. Ten days later, dorsiflexion of the bilateral ankle was weakening, and MRI indicated that the fractured vertebral body was compressing the spinal cord. Neuropathy due to the fracture was diagnosed and a body cast was applied. After casting, his pain diminished and muscle strength of his ankle gradually recovered. After two months of casting, he was discharged on foot with a hard brace.

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