Off-label use of teriparatide for the treatment of a vertebral burst fracture in a young patient: A case report and literature review

Q4 Medicine Trauma Case Reports Pub Date : 2025-02-01 DOI:10.1016/j.tcr.2025.101127
Tiziano Villa , Vincenzo Zottola , Carlo Mariani , Alberto Borgonovo , Luciano Redenti
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引用次数: 0

Abstract

We describe a case of L2 vertebral burst fracture in a 40-year-old male patient without any other comorbidities due to a ground-fall from horse. Despite surgical intervention with L1-L3 spine fusion was indicated as the treatment of choice since no fracture healing was visible on CT after 40 days post trauma, a conservative off-label therapy was decided with 5-month administration of teriparatide and vitamin D‑calcium supplementation together with nocturnal pulsed electro-magnetic field. Complete fracture healing was obtained after 5 months.
This is the first report of successful off-label use of teriparatide together with pulsed electro-magnetic field for the treatment of a burst vertebral fracture without surgical intervention in a young patient.
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来源期刊
Trauma Case Reports
Trauma Case Reports Medicine-Emergency Medicine
CiteScore
0.60
自引率
0.00%
发文量
131
审稿时长
26 weeks
期刊介绍: Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.
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