Vertebral body avascular necrosis

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Back pain.

Patient Data

Age: Elderly.
Gender: Female

Lumbar spine CT

ct
Sagittal
bone window
Coronal
bone window
Download
Info

A lumbar vertebral body is sclerotic and collapsed with classical horizontal cleft of gas within the bone (as well as degenerative gas in a number of the discs). This appearance is very typical of avascular necrosis (Kümmell disease). 

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