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. 2019 Nov 27;19:178. doi: 10.1186/s12893-019-0646-x

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© The Author(s). 2019

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 2 — An 87-year-old female patient with an L1 osteoporotic fracture; conservative treatment failed, and then she was treated surgically with PV. One month after the operation, an adjacent-segment fracture occurred. a On the injured day, the patient accepted conservative treatment. bc The first admission X-ray and MRI showed a lumbar compression fracture at L1, and she underwent PV treatment. defg At the follow-up times of 3 months, 1 year, and 2.5 years postoperatively, X-ray showed vertebral collapse at L1, and a new adjacent-segment fracture occurred at T12; the kyphosis deformity deteriorated. However, the patient refused surgery, and she suffered from chronic back pain