2001 年 50 巻 2 号 p. 324-327
This study reviewed the relationship between the prognosis of 15 patients with compression spine fractures by osteoporosis and gadolinium-enhanced magnetic resonance imaging characteristics. All patients had undergone conventional and gadolinium-enhanced magnetic resonance imaging within 4 weeks of onset of the fractures except for 3 patients. Gadolinium-enhanced magnetic resonance imaging findings were classified into two types: fully vertebral body-enhanced type and partially vertebral body-enhanced type with the former, the degree of compression in the vertebral fracture did not become aggravated and back pain was easily relieved. With the latter the conditions of most of the patients become worse and back pain continued. These results suggested that patients who are partially vertebral body-enhanced continue to suffer back pain, and conditions become worse. The findings of the gad linium-enhanced magnetic resonance imaging were also found to be useful as a factor of prognosis for patients with compression spine fractures.