Characteristic analysis of precordial referred pain caused by osteoporotic vertebral compression fracture in the 12th thoracic vertebrae misdiagnosed as coronary heart disease

doi:10.3877/cma.j.issn.2095-655X.2023.02.014

Abstract

Abstract:

Objective

To discuss the causes of misdiagnosis and clinical characteristics of osteoporotic vertebral compression fractures (OVCF) in the 12th thoracic vertebrae with precordial referred pain.

Methods

The clinical data of 2 cases of OVCF in the 12th thoracic vertebrae misdiagnosed as coronary heart disease admitted to the Department of Orthopedics of the 946th Hospital of PLA on May 25, 2019, and March 8, 2021, were retrospectively analyzed, and the clinical characteristics of referred pain in the precordial area caused by OVCF of the 12th thoracic vertebrae were summarized.

Results

Both cases were all admitted due to " chest and back pain and discomfort". Coronary heart disease was initially considered and relevant examination and treatment were performed, but the results were not good. Further examination revealed that it was caused by the 12th thoracic vertebral fracture, and percutaneous vertebroplasty was performed. The pain in the precordial area disappeared after the surgery, and the follow-up results were good after discharge.

Conclusions

The 12th thoracic vertebral fracture causes far precordial referred pain, which is rare in clinical practice. We should strengthen the understanding of the referred pain caused by OVCF in the elderly to reduce misdiagnosis and mistreatment.

Key words: Spinal fracture, Osteoporosis, Precordial area, Referred pain, Coronary heart disease

Yicheng Guo, Zhipeng Xie, Wanli Liu, Yang Zhao, Yansheng Che, Min Zhao. Characteristic analysis of precordial referred pain caused by osteoporotic vertebral compression fracture in the 12th thoracic vertebrae misdiagnosed as coronary heart disease[J]. Chinese Journal of Diagnostics(Electronic Edition), 2023, 11(02): 136-139.

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