IMR Press / CEOG / Volume 46 / Issue 5 / DOI: 10.12891/ceog4805.2019

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
A case of postpartum multiple vertebral fractures in a patient with osteogeneis imperfecta
Y. Ikeda1,2,*,†A. Komatsu2,†H. Gomibuchi1
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1 Department of Obstetrics and Gynecology, Kawakita General Hospital, Tokyo, Japan
2 Department of Obstetrics and Gynecology, Faculty of Medicine, Nihon University, Tokyo, Japan
*Correspondence: ikeda.yuji@nihon-u.ac.jp (YUJI IKEDA)
Contributed equally.
Clin. Exp. Obstet. Gynecol. 2019, 46(5), 839–841; https://doi.org/10.12891/ceog4805.2019
Published: 10 October 2019
Abstract

Introduction: Physicians tend to pay limited attention to lower back pain (LBP) during or after pregnancy, since LBP is experienced by about 70% of pregnant females. Although the etiologies of LBP in most cases are left unclarified, there are some cases in which the cause of pain should be identified to avoid disease progression. Case Report: A 32-year-old female with osteogenesis imperfecta experienced LBP after delivery. This LBP was assessed at several hospitals during a three-month period; however, the cause of the pain was not identified. The authors’ intentional examinations revealed that her LBP was caused by five vertebral fractures of Th11, Th12, L1, L2, and L3. The patient stopped breast-feeding and started taking anti-inflammatory drugs, bisphosphonate, calcium, and vitamin D. The LBP was alleviated after six months. Conclusion: Appropriate assessment of LBP is important to prevent disease progression, as potential causes include postpartum vertebral compression fractures.

Keywords
Breast feeding
Lower back pain
Osteogenesis imperfecta
Postpartum
Vertebral fractures
Figures
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