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Nontraumatic Vertebral Collapse

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Critical Findings in Neuroradiology

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Abstract

Nontraumatic vertebral collapse or compression fractures refer to acute body vertebral fractures caused by osteoporosis or metastatic infiltration. Benign osteoporotic and malignant fractures are commonly encountered without a corresponding history of an acute traumatic episode. In some cases of vertebral collapse, it is difficult to differentiate between benign and malignant etiologies. The aim of this chapter is to discuss the specific findings of each fracture type which help to differentiate them.

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References

  1. Kang HS, Lee JW, Kwon JW, SpringerLink (Online service). Radiology illustrated: spine. Berlin/Heidelberg: Springer Berlin Heidelberg: Imprint: Springer; 2014. Available from: http://VB3LK7EB4T.search.serialssolutions.com/?V=1.0&L=VB3LK7EB4T&S=JCs&C=TC0001187485&T=marc.

  2. National Osteoporosis Foundation. Clinician’s guide to prevention and treatment of osteoporosis. Washington, DC: National Osteoporosis Foundation; 2010.

    Google Scholar 

  3. Fornasier VL, Czitrom AA. Collapsed vertebrae: a review of 659 autopsies. Clin Orthop Relat Res. 1978;131:261–5.

    PubMed  Google Scholar 

  4. Cicala D, Briganti F, Casale L, Rossi C, Cagini L, Cesarano E, et al. Atraumatic vertebral compression fractures: differential diagnosis between benign osteoporotic and malignant fractures by MRI. Musculoskelet Surg. 2013;97 Suppl 2:S169–79.

    Article  PubMed  Google Scholar 

  5. Laredo JD, Lakhdari K, Bellaiche L, Hamze B, Janklewicz P, Tubiana JM. Acute vertebral collapse: CT findings in benign and malignant nontraumatic cases. Radiology. 1995;194(1):41–8.

    Article  CAS  PubMed  Google Scholar 

  6. Daffner RH, Lupetin AR, Dash N, Deeb ZL, Sefczek RJ, Schapiro RL. MRI in the detection of malignant infiltration of bone marrow. AJR Am J Roentgenol. 1986;146(2):353–8.

    Article  CAS  PubMed  Google Scholar 

  7. Modic MT, Masaryk T, Paushter D. Magnetic resonance imaging of the spine. Radiol Clin North Am. 1986;24(2):229–45.

    CAS  PubMed  Google Scholar 

  8. Herneth AM, Philipp MO, Naude J, Funovics M, Beichel RR, Bammer R, et al. Vertebral metastases: assessment with apparent diffusion coefficient. Radiology. 2002;225(3):889–94.

    Article  PubMed  Google Scholar 

  9. Balliu E, Vilanova JC, Pelaez I, Puig J, Remollo S, Barcelo C, et al. Diagnostic value of apparent diffusion coefficients to differentiate benign from malignant vertebral bone marrow lesions. Eur J Radiol. 2009;69(3):560–6.

    Article  CAS  PubMed  Google Scholar 

  10. Schmitz A, Risse JH, Textor J, Zander D, Biersack HJ, Schmitt O, et al. FDG-PET findings of vertebral compression fractures in osteoporosis: preliminary results. Osteoporos Int: J Established Result Cooperation Between Eur Found Osteoporos Natl Osteoporos Found USA. 2002;13(9):755–61.

    Article  Google Scholar 

  11. Baker LL, Goodman SB, Perkash I, Lane B, Enzmann DR. Benign versus pathologic compression fractures of vertebral bodies: assessment with conventional spin-echo, chemical-shift, and STIR MR imaging. Radiology. 1990;174(2):495–502.

    Article  CAS  PubMed  Google Scholar 

  12. Yuh WT, Zachar CK, Barloon TJ, Sato Y, Sickels WJ, Hawes DR. Vertebral compression fractures: distinction between benign and malignant causes with MR imaging. Radiology. 1989;172(1):215–8.

    Article  CAS  PubMed  Google Scholar 

  13. Palmer WE, Suri R, Kattapuram SV. Benign versus malignant vertebral collapse: value of a fracture line on MR images. Radiology. 1999;213:93.

    Google Scholar 

  14. Naul LG, Peet GJ, Maupin WB. Avascular necrosis of the vertebral body: MR imaging. Radiology. 1989;172(1):219–22.

    Article  CAS  PubMed  Google Scholar 

  15. Malghem J, Maldague B, Labaisse MA, Dooms G, Duprez T, Devogelaer JP, et al. Intravertebral vacuum cleft: changes in content after supine positioning. Radiology. 1993;187(2):483–7.

    Article  CAS  PubMed  Google Scholar 

  16. Dupuy DE, Palmer WE, Rosenthal DI. Vertebral fluid collection associated with vertebral collapse. AJR Am J Roentgenol. 1996;167(6):1535–8.

    Article  CAS  PubMed  Google Scholar 

  17. Cuenod CA, Laredo JD, Chevret S, Hamze B, Naouri JF, Chapaux X, et al. Acute vertebral collapse due to osteoporosis or malignancy: appearance on unenhanced and gadolinium-enhanced MR images. Radiology. 1996;199(2):541–9.

    Article  CAS  PubMed  Google Scholar 

  18. Shih TT, Huang KM, Li YW. Solitary vertebral collapse: distinction between benign and malignant causes using MR patterns. J Magn Reson Imaging: JMRI. 1999;9(5):635–42.

    Article  CAS  PubMed  Google Scholar 

  19. Blomlie V, Lien HH, Iversen T, Winderen M, Tvera K. Radiation-induced insufficiency fractures of the sacrum: evaluation with MR imaging. Radiology. 1993;188(1):241–4.

    Article  CAS  PubMed  Google Scholar 

  20. Jung HS, Jee WH, McCauley TR, Ha KY, Choi KH. Discrimination of metastatic from acute osteoporotic compression spinal fractures with MR imaging. Radiographics: Rev Publ Radiol Soc N Am Inc. 2003;23(1):179–87.

    Article  Google Scholar 

  21. Zhou XJ, Leeds NE, McKinnon GC, Kumar AJ. Characterization of benign and metastatic vertebral compression fractures with quantitative diffusion MR imaging. AJNR Am J Neuroradiol. 2002;23(1):165–70.

    PubMed  Google Scholar 

  22. Even-Sapir E. Imaging of malignant bone involvement by morphologic, scintigraphic, and hybrid modalities. J Nucl Med: Off Publ Soc Nucl Med. 2005;46(8):1356–67.

    Google Scholar 

  23. Ilaslan H, Sundaram M, Unni KK, Shives TC. Primary vertebral osteosarcoma: imaging findings. Radiology. 2004;230(3):697–702.

    Article  PubMed  Google Scholar 

  24. Vinay S, Khan SK, Braybrooke JR. Lumbar vertebral haemangioma causing pathological fracture, epidural haemorrhage, and cord compression: a case report and review of literature. J Spinal Cord Med. 2011;34(3):335–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Pedicelli A, Papacci F, Leone A, De Simone C, Meglio M, Bonomo L, et al. Vertebroplasty for symptomatic monostotic Paget disease. J Vasc Interv Radiol: JVIR. 2011;22(3):400–3.

    Article  PubMed  Google Scholar 

  26. Burrill J, Williams CJ, Bain G, Conder G, Hine AL, Misra RR. Tuberculosis: a radiologic review. Radiographics: Rev Publ Radiol Soc N Am Inc. 2007;27(5):1255–73.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Radiology, University of North Carolina, Chapel Hill, NC, USA

    Ana Lorena Abello MD

Authors
  1. Ana Lorena Abello MD
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Correspondence to Ana Lorena Abello MD .

Editor information

Editors and Affiliations

  1. Santa Casa de São Paulo, Division of Neuroradiology, São Paulo, São Paulo, Brazil

    Renato Hoffmann Nunes

  2. Univer of North Carolina, Dep Radiology, Research Fellow in Neuroradiology, Chapel Hill, North Carolina, USA

    Ana Lorena Abello

  3. Chief, Div Neurorad. Univ North Carolin, James H. Scatliff Distinguished Prof Rad, Chapel Hill, North Carolina, USA

    Mauricio Castillo

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© 2016 Springer International Publishing Switzerland

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Abello, A.L. (2016). Nontraumatic Vertebral Collapse. In: Hoffmann Nunes, R., Abello, A., Castillo, M. (eds) Critical Findings in Neuroradiology. Springer, Cham. https://doi.org/10.1007/978-3-319-27987-9_44

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  • DOI: https://doi.org/10.1007/978-3-319-27987-9_44

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27985-5

  • Online ISBN: 978-3-319-27987-9

  • eBook Packages: MedicineMedicine (R0)

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