Kummel disease (avascular necrosis of the vertebrae)

Case contributed by Dr Ahmed Abd Rabou

Presentation

Severe low back pain and bilateral sciatica.

Patient Data

Age: 70
Gender: Female

Osteoporotic fracture of T10, T11, T12, L1 and L2 vertebrae. L1 vertebral body cleft filled with fluid inside seen in early avascular necrosis.

Case Discussion

The findings of the MR images are compatible with Kummel disease.

Kummel disease is avascular necrosis of vertebral bodies. It occurs in elderly and osteoporotic patients and more common in females. Fluid cleft inside the vertebral body provide the precursor of gas inside the vertebra later on the disease.

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Case Information

rID: 22599
Case created: 9th Apr 2013
Last edited: 15th Feb 2016
Inclusion in quiz mode: Included

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