L4 vertebral body pathological fracture secondary to myeloma

Case contributed by Dr Vineet Prakash


2 Day history of back pain radiating to right hip. No history of trauma.

Patient Data

Age: 71
Gender: Male
  • There is irregularity and loss in height of the L4 vertebral body.
  • Vertebral alignment is otherwise maintained.
  • No other acute bony abnormality
  • There is extensive lucency causing collapse of the L4 vertebral body superior end plate and extending into the body itself but not through into the pedicular region.
  • Solitary L4 vertebral body lytic lesion with no evidence for cord compression.
  • Given the patient's history myeloma, this is likely to be a
  • There is no disruption into the spinal canal.
  • No paravertebral soft tissue mass.
  • There is no expansion of the bone outside into the psoas musculature

Case Discussion

This patient had underlying myeloma and received radiotherapy of the lumbar spine for this spinal lesion.

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Case information

rID: 31308
Published: 15th Oct 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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