Avascular idiopathic vertebrae necrosis associated with Raynaud phenomenon: case report and review of literature

  • Angel Escamez-PerezEmail author
  • Cesar Hernandez-Garcia
  • Sophie Moreno-Swirc
  • Margarita Herzog-Gisbert
  • Maria Rosa Aledo-Reverte
  • Inmaculada Martinez-Bravo
  • Vicente Leon-Muñoz
  • Cesar Salcedo-Canovas
Up-to date Review and Case Report


Avascular necrosis of a vertebral body is an uncommon entity. Avascular necrosis has been described in the context of other underlying lesions, such as with malignancy, infection, radiation therapy, systemic steroid treatment or trauma (Kummel disease). Idiophatic avascular necrosis in a vertebral body is even more rare to occur. As an illustrative example it is presented the case of a 61-year-old woman with and avascular necrosis of L2. Primaries disease where ruled out (only an idiophatic Raynaud phenomenon was associated) and diagnosis was made by vertebral core biopsy. After biopsy was performed, pain decrease strongly so the patient rejected further treatments. MRI changes were noticed after four months from the biopsy. The patient remains asymptomatic until now. A current review of the literature regarding avascular necrosis of a vertebral body is made in this article insisting on different etiologies, differential diagnosis and treatment.


Avascular Necrosis Vertebral Spine Raynaud Vertebroplasty 


Conflict of interest

No funds were received in support of this study.


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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Angel Escamez-Perez
    • 1
    • 5
    Email author
  • Cesar Hernandez-Garcia
    • 1
  • Sophie Moreno-Swirc
    • 2
  • Margarita Herzog-Gisbert
    • 3
  • Maria Rosa Aledo-Reverte
    • 1
  • Inmaculada Martinez-Bravo
    • 1
  • Vicente Leon-Muñoz
    • 1
  • Cesar Salcedo-Canovas
    • 4
  1. 1.Orhopaedic Surgery DepartmentHospital de la Vega Lorenzo Guirao30530Cieza, MurciaSpain
  2. 2.Pathology DepartmentHospital de la Vega Lorenzo GuiraoCieza, MurciaSpain
  3. 3.Internal Medicine DepartmentHospital de la Vega Lorenzo GuiraoCieza, MurciaSpain
  4. 4.Orthopaedic Surgery DepartmentHospital Universitario Virgen de la ArrixacaEl Palmar, MurciaSpain
  5. 5.MurciaSpain

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