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Vertebral Body Collapse

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Abstract

Vertebral collapse is not an uncommon finding post mortem, present in 20%–30% of autopsies when sought (Fornasier and Czitrom 1978; Sartoris et al. 1986) and may be due to many aetiologies. In general, collapse of the anterior structures of the vertebral body is due either to infection or neoplasms, usually metastatic, or to a more generalized process causing osteopenia, e.g. metabolic or inflammatory disorders. In these conditions minor trauma may finally precipitate vertebral fracture. Involvement of the posterior vertebral structures by infection (Roberts 1988) or neoplasia is uncommon as metastatic disease usually involves the vascular tufts just deep to the end plate (Waldvogel et al. 1970).

Keywords

  • Thoracic Spine
  • Metabolic Bone Disease
  • Spinal Tuberculosis
  • Vertebral Collapse
  • Vertebral Osteomyelitis

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  • Batson OV (1940) The function of the vertebral veins and their role in the spread of metastases. Ann Sug 112:138

    CrossRef  CAS  Google Scholar 

  • Boland PJ, Lane JM, Sundaresan N (1982) Metastatic disease of the spine. Clin Orthop 169:95–102

    PubMed  Google Scholar 

  • Brice J, McKissock W (1965) Surgical treatment of malignant extradural spinal tumours. Br Med J i:1341–1344

    CrossRef  Google Scholar 

  • Coman DR, Delong RP (1951) The role of the vertebral venous system in metastasis of cancer to the spinal column: experiments with tumour cell suspensions in rats and rabbits. Cancer 4:610–618

    PubMed  CrossRef  CAS  Google Scholar 

  • Cordero M, Sanchez I (1991) Brucellar and tubercular spondylitis: a comparative study of their clinical features. J Bone Joint Surg 73B:100–103

    Google Scholar 

  • Edelestyn GA, Gillespie PJ, Grebbell FS (1967) The radiological demonstration of osseous metastases: experimental observations. Clin Radiol 18:158–162

    CrossRef  Google Scholar 

  • Edelson RN, Deck MDF, Posner JB (1972) Intramedullary spinal cord metastases: clinical and radiographic findings in 9 cases. Neurology 22:1222–1231

    CAS  Google Scholar 

  • Fairney A (1983) Metabolic bone disease. In: Harris NH (ed) Postgraduate textbook of clinical orthopaedics. Wright, Bristol, pp 307–338

    Google Scholar 

  • Findlay GFG (1984) Adverse effects of the surgical management of malignant spinal cord compression. J Neurol Neurosurg Psychiatry 47:761–768

    PubMed  CrossRef  CAS  Google Scholar 

  • Findlay GFG (1987) The role of vertebral body collapse in the management of malignant spinal cord compression. J Neurol Neurosurg Psychiatry 50:151–154

    PubMed  CrossRef  CAS  Google Scholar 

  • Fornasier VL, Czitrom AA (1978) Collapsed vertebrae a review of 659 autopsies. Clin Orthop 131:261–265

    PubMed  Google Scholar 

  • Gilbert RN, Kim JH, Posner JB (1978) Epidural spinal cord compression from metastatic tumour: diagnosis and treatment. Ann Neurol 3:40–51

    PubMed  CrossRef  CAS  Google Scholar 

  • Greenberg HS, Kim JH, Posner JB (1980) Epidural spinal cord compression from metastatic tumour: results with a new treatment protocol. Ann Neurol 8:361–366

    PubMed  CrossRef  CAS  Google Scholar 

  • Harmon DC (1984) Case records of the Massachussets General Hospital. N Engl J Med 311:455–462

    CrossRef  Google Scholar 

  • Harris NH (1983) Bone and joint infections In: Harris NH (ed) Postgraduate textbook of clinical orthopaedics. Wright, Bristol, pp 339–396

    Google Scholar 

  • Heywood AWB, Meyers OL (1986) Rheumatoid arthritis of the thoracic and lumbar spine. J Bone Joint Surg 68B:362–368

    Google Scholar 

  • Jaffe WL (1958) Tumors and tumorous conditions of bones and joints. Lea and Febiger, Philadelphia

    Google Scholar 

  • Kaneda K Asano S Hashimoto T Satoh S Fujiya M (1992) The treatment of osteoporotic-posttraumatic vertebral collapse using the Kaneda device and a bioactive ceramic vertebral prosthesis. Spine 17 (8 suppl):S295–S303

    CAS  Google Scholar 

  • Kaufman DM, Kaplan JG, Litman N (1980) Infectious agents in spinal epidural abscesses. Neurology 30:844–850

    PubMed  CAS  Google Scholar 

  • Laredo JD Lakhhdari K Bellaiche L Hamze B Janklewicz P Tubiana JM (1995) Acute vertebral collapse CT findings in benign and malignant non-traumatic cases. Radiology 194:41–48

    PubMed  CAS  Google Scholar 

  • Medical Research Council working party on tuberculosis of the spine (1982) A 10 year assessment of a controlled trial comparing debridement and anterior spinal fusion in the management of tubercolosis of the spine in patients on standard chemotherapy in Hong Kong. J Bone Joint Surg 64B:393–401

    Google Scholar 

  • Parfitt J Duncan AM (1982) Metabolic bone disease affecting the spine In: Rothman RH Simeone FA (eds) The Spine Vol II, 2nd edn. WB Saunders, Philadelphia, pp 828–830

    Google Scholar 

  • Moore AJ, Uttley D (1989) Anterior decompression and stabilization of the spine in malignant disease. Neurosurgery 24:713–717

    PubMed  CrossRef  CAS  Google Scholar 

  • Raisz LG (1988) Local and systemic factors in the pathogenesis of osteoporosis. N Engl J Med 318:818–828

    PubMed  CrossRef  CAS  Google Scholar 

  • Roberts WA (1988) Pyogenic vertebral osteomyelitis of a lumbar facet joint with associated epidural abscess: a case report with a review of the literature. Spine 13:948–952

    PubMed  CrossRef  CAS  Google Scholar 

  • Ross PM, Fleming J (1976) Vertebral body osteomyelitis: spectrum and natural history, a retrospective study of 37 cases. Clin Orthop 118:P190–198

    Google Scholar 

  • Sapico FL, Montgomerie JZ (1979) Pyogenic vertebral osteomyelitis: report of nine cases and a review of the literature. Rev Infect Dis 1:754–776

    PubMed  CrossRef  CAS  Google Scholar 

  • Sapico FL, Montgomerie JZ (1980) Vertebral osteomyelitis in intravenous drug abusers: report of three cases and review of the literature. Rev Infect Dis 2:196–206

    PubMed  CrossRef  CAS  Google Scholar 

  • Sartoris DJ, Clopton P, Nemcek A, Dowd C, Resnick D (1986) Vertebral collapse in focal and diffuse disease: patterns of pathologic processes. Radiology 160:479–483

    PubMed  CAS  Google Scholar 

  • Schajowicz F, Araujo EH (1983) Cysts and tumours of the musculoskeletal system. In: Harris NH (ed) Postgraduate textbook of clinical orthopaedics. Wright, Bristol, pp 605–639

    Google Scholar 

  • Schmorl G, Junghanns H (1971) The human spine in health and disease, 2nd edn. (EF Bersemann trans.) Grune and Stratton, New York

    Google Scholar 

  • Siegal T, Seigal T (1985) Surgical decompression of anterior and posterior malignant epidural tumours compressing the spinal cord. Neurosurgery 17:424–432

    PubMed  CrossRef  CAS  Google Scholar 

  • Smoker WR, Godersky JC, Knutson R, Keyes WD, Norman D, Bergman W (1987) The role of MR imaging in evaluating metastatic spinal disease. AJR 149:1241

    PubMed  CAS  Google Scholar 

  • Sundaresan N, Digiacinto GV, Hughes JEO, Cafferty M, Vallejo A (1991) Treatment of neoplastic cord compression: results of a prospective study. Neurosurgery 29:645–650

    PubMed  CrossRef  CAS  Google Scholar 

  • Tuli SM (1975) Results of treatment of spinal tuberculosis by “middle path” regime. Br J Surg 169:29

    Google Scholar 

  • Ushio Y, Posner R, Kim JH, Shapiro WR, Posner JB (1977) Treatment of experimental spinal cord cord Mcompression by extradural neoplasms. J Neurosurg 47:380–390

    PubMed  CrossRef  CAS  Google Scholar 

  • Waldvogel FA, Vasey H (1980) Osteomyelitis: the past decade. N Engl J Med 303:360–370

    PubMed  CrossRef  CAS  Google Scholar 

  • Waldvogel FA, Medoff G, Swartz MN (1970) Osteomyelitis: a review of clinical features therapeutic considerations and unusual aspects. N Engl J Med 282:198–206; 316–322.

    PubMed  CrossRef  CAS  Google Scholar 

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© 1997 Springer-Verlag London Limited

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Dick, J.P.R. (1997). Vertebral Body Collapse. In: Critchley, E., Eisen, A. (eds) Spinal Cord Disease. Springer, London. https://doi.org/10.1007/978-1-4471-0911-2_28

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  • DOI: https://doi.org/10.1007/978-1-4471-0911-2_28

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1233-4

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