Figure 2

A 70-year-old female patient, thoracolumbar multi-segment osteoporotic fracture, conservative treatment failed with adjacent-segment fractures and then be treated surgically. (a) First admission (2014–06–17): MRI showed lumbar compression fracture in L3, 4 and old lumbar compression fracture in L2. L3 ASTLOF score of 4 points, the total ASTLOF score of 6 points, underwent conservative treatment. (b) The second admission (2014–10–14): MRI showed vertebral collapse in L3 and L4 compared with previous MRI, new thoracolumbar compression fracture in T11 and L1. T11 ASTLOF score of 4 points, the total ASTLOF score of 10 points, underwent PKP. (c,d) Postoperative review of the X-ray showed: bone cement leakage in T11 and L3, no complications were found, and back pain were relieved.