, Volume 2, Issue 2, pp 188-190
Date: 23 May 2006

Paget's Disease of the Spine and Secondary Osteosarcoma

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This is a case of a 72-year-old male with a known history of Paget's disease with worsening back pain. Images from computed tomographic (CT) myelography performed 4 years prior to recent presentation demonstrate the characteristic appearance of Paget's disease of the spine with diffuse coarsened, thickened trabeculae and enlargement of the bone resulting in central canal stenosis (see Fig. 1). Selected images of the T12 vertebral body also demonstrate the characteristic appearance of Paget's disease to a slightly lesser degree than the more inferior L1 vertebral body (see Fig. 2). Fig 1

Axial CT image of the L1 vertebral body obtained postmyelography and viewed with bone windows obtained 4 years prior to recent presentation demonstrates the characteristic appearance of Paget's disease with thickened, coarsened trabeculae and overall enlargement of the bone.
Fig 2
Axial postmyelogram CT of the T12 vertebral body obtained 4 years prior to presentation demonstrates mild Pagetic involvement.