Ivory vertebra due to prostate cancer

Case contributed by Bálint Botz
Diagnosis almost certain

Presentation

Sustained a fall. History of prostate cancer.

Patient Data

Age: 75 years
Gender: Male

While no pelvic fracture was visible, the incidental, strikingly sclerotic appearance of the fourth lumbar vertebra suggests a sclerotic bone metastasis. 

Subsequent abdominal CT demonstrated no acute trauma, but further demonstrated that the fourth lumbar vertebra is homogenously transformed by an osteoblastic metastasis. 

Case Discussion

Typical presentation of ivory vertebra sign in a patient with history of prostate adenocarcinoma.

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