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Case Spotlight:A complex spinal fracture restored through multidisciplinary expertise and minimally invasive pain intervention.
The patient, a renal transplant recipient, developed graft rejection and was placed back on dialysis with long-term steroids. This caused severe osteoporosis and a painful vertebral compression fracture. With a body weight of only 34 kg, malnourishment, and multiple health risks, surgery was not possible.
A Post-renal transplant rejection patient was put back on regular dialysis and long-term steroids, which led to severe osteoporosis. This resulted in a vertebral compression fracture, causing excruciating spinal pain. However, due to multiple comorbidities, anaesthesia risks, and malnourishment (body weight 34 kg), spinal fixation surgery was not an option.
Initial pain management with opioids and epidural steroids offered temporary relief, but the patient remained bedridden and unfit for discharge. True multidisciplinary collaboration: Nephrology, Neurology, Neurosurgery, Infectious Diseases, Endocrinology and Pain Medicine all came together to create a plan.
A minimally invasive vertebral cement augmentation (Kyphoplasty) was performed under local anaesthesia, providing :
A minimally invasive kyphoplasty performed under local anaesthesia provided safe and immediate pain relief, restoring mobility without exposing the patient to the risks of major surgery. This case highlights how interventional pain medicine can offer transformative outcomes even when surgical options are limited, reaffirming that restoring function and dignity is possible through thoughtful, multidisciplinary collaboration.
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