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M/68

C.C.> Low Back Pain without radiating pain

BHx> 1개월 전 무거운 것을 들던 중 sudden LBP 발생
- 3개월 전에도 무거운 것 들다가 LBP 발생했던 Hx 있음.
- 2년전 NSCLC로 lung RML lobectomy Hx (+)

P/E>
Midline tenderness (+) : L2-3 level
Both L/E SMC : fully intact


MRI>
1. Multiple benign compression fractures(T7, L2, L3).
2. No evidence of dural sac compression.

BOne Scan>
1)Mild active bone lesion in T8.
->Improved.
2)Active bone lesion in L3, 4.
->Compression fracture more likely.

Imp> #1. Old compression Fx, T7
#2. Compression Fx, L2,3

Op> Balloon Kyphoplasty, L2,3