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Intravertebral vacuum cleft sign: a cause of vertebral cold defect on bone scan

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Abstract

A 67-year-old female presented with an acute compression fracture with an intravertebral vacuum cleft (IVC) sign of the T12 vertebra. Her bone scan demonstrated a cold defect of the fractured vertebra. Although the IVC sign is related to vertebral osteonecrosis, to the best of our knowledge, a cold defect on a bone scan has not been reported in an acute compression fracture with an IVC sign. In this case review, various imaging findings of osteonecrotic compression fractures are discussed along with a review of the current literature.

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Authors and Affiliations

  1. Department of Nuclear Medicine, Kosin University Gospel Hospital, Kosin University College of Medicine, 262, Gamcheon-ro, Seo-gu, Busan, 602-702, Korea

    Heeyoung Kim & Sungmin Jun

  2. Department of Radiology, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea

    Se Kyoung Park

  3. Division of Rheumatology, Department of Internal Medicine, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea

    Geun-Tae Kim

  4. Department of Nuclear Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea

    Seol Hoon Park

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  1. Heeyoung Kim
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  2. Sungmin Jun
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  3. Se Kyoung Park
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  4. Geun-Tae Kim
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Correspondence to Sungmin Jun.

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Kim, H., Jun, S., Park, S.K. et al. Intravertebral vacuum cleft sign: a cause of vertebral cold defect on bone scan. Skeletal Radiol 45, 707–712 (2016). https://doi.org/10.1007/s00256-016-2331-9

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  • DOI: https://doi.org/10.1007/s00256-016-2331-9

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