Abstract
A 76-year-old woman experienced low back pain, and left inguinal and thigh pain after falling down. Physical examination revealed knock pain of the thocic spinous process and hip pain, radiating into the iliac wing and down the antero-lateral aspect of the left thigh. The hip pain on motion and limited range of motion were also revealed. On radiographic examination, X-ray showed burst fracture of the thoracic spine. No obvious changes around the pubis and proximal femur were detected on X-ray. A trial consisting of conservative therapy and vertebroplasty of the thoracic spine for these symptoms failed. Magnetic resonance imaging (MRI) of the hips showed distended iliopsoas bursa. Aspiration was performed under computed tomography (CT). Leakage of pale yellow serous content was seen. No bacterial organisms were detected in the culture. Aspiration provided temporary relief of symptoms for two weeks. After the second aspiration, the patient remained symptom free at one-year follow-up.
