title: Effective treatment of delayed union of a lumbar vertebral fracture with daily administration of teriparatide in a patient with diffuse idiopathic skeletal hyperostosis.
abstract: BACKGROUND
  We herein describe a case of delayed union of a lumbar spine fracture in a 70-year-old patient with diffuse idiopathic skeletal hyperostosis (DISH).
  Because he decided not to undergo surgical treatment, we provided conservative treatment with teriparatide (TPTD). Union was obtained in 2 months, and no adverse events were observed during treatment. Six months after starting the TPTD, further bone formation was observed and the lumbar instability had resolved.
  
  
  CONCLUSIONS
  This is the first report of successful use of TPTD to treat delayed union of a spine fracture in a patient with DISH without surgical intervention.
authors: Department of Orthopedic Surgery, Nokami Kosei General Hospital, 198 Kobata, Kimino-Cho, Kaisou-Gun, Wakayama, 640-1141, Japan, matsumoto_t@nokami-hospital.jp.
authors: Takuji
authors: T
authors: Matsumoto
authors: Muneharu
authors: M
authors: Ando
authors: Shunji
authors: S
authors: Sasaki
mesh_terms: D000368:Aged; D050071:Bone Density Conservation Agents / Q000627:therapeutic use*; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000503:physiopathology; D006801:Humans; D004057:Hyperostosis, Diffuse Idiopathic Skeletal / Q000150:complications*; D008297:Male; D010012:Osteogenesis / Q000187:drug effects; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology / Q000503:physiopathology; D019379:Teriparatide / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D050071:Bone Density Conservation Agents; D019379:Teriparatide
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