저자들은 장기간의 당질코르티코이드 복용의 개인력이 있는 자가면역질환 환자에서 가벼운 외상 또는 외상의 병력 없이 다발성 척추 골절이 발생하여 이를 성공적으로 치료하였기에 문헌고찰과 함께 보고하는 바이다.

Reduced bone mineral density precedes the development of vertebral fractures in patients under long term glucocorticoid therapy. Osteoporosis is a frequent complication in steroid-dependent patients, and the risk of developing vertebral fractures in these patients is much higher than involutional osteoporosis. We described a 54-year-old patient who presented with autoimmune hepatitis and had a 6-year history of steroid medication. The patient had multiple compression fractures (T10∼L5) without trauma, and was treated successfully with multi-level vertebroplasty and an intravenous injection of bisphosphonate without complications.