PMC5718305_01
T2 MRI of the patient's spine (sagittal view) showing L1 vertebral compression fracture, and spina bifida with myelomeningocele.
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When x-rays and magnetic resonance imaging (MRI) of thoracolumbar spine revealed diffuse osteoporosis along with an acute anterior compression deformity in the anterior superior endplate of L1 with about 20% loss of vertebral body height (Figure 1), the patient was referred to pain management.
Lateral fluoroscopic view of successful L1 kyphoplasty.
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Subsequently, 7 mL of polymethylmethacrylate cement was slowly injected in the cavity created by the balloon tamp (Figure 2) with close monitoring of AP and lateral views of the L1 vertebra to ensure that the cement stays within the cavity.