Context: Osteoporosis is a known complication in spinal cord injury patients and can result in an increased risk of fractures and associated morbidity. Bone demineralization is most common in long bones below the level of injury. The pathogenesis is complex and not fully understood.

Findings: We present the case of a 65-year-old male with chronic spinal cord injury who was found to have multiple vertebral compression fractures causing autonomic dysreflexia and new onset spasticity.

Conclusion/Clinical Relevance: This case illustrates the need for improved awareness, diagnosis, and prevention for this disease process.

中文翻译：

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椎骨功能不全骨折导致慢性四肢瘫痪患者自主神经反射异常：病例报告

背景：骨质疏松症是脊髓损伤患者的一种已知并发症，可导致骨折和相关并发症的风险增加。骨脱矿最常见于损伤水平以下的长骨中。发病机制复杂且尚未完全了解。

结果：我们介绍了一名患有慢性脊髓损伤的 65 岁男性的病例，他被发现有多处椎体压缩性骨折，导致自主神经反射异常和新发痉挛。

结论/临床相关性：该病例表明需要提高对该疾病过程的认识、诊断和预防。