Multiple myeloma - with disseminated lytic skeletal lesions

Case contributed by Vineet Prakash
Diagnosis almost certain

Presentation

Back pain following a minor fall

Patient Data

Age: 85 years
Gender: Male

Decrease vertebral body heights of T12, L1 and L4. Anterior wedging of the T12 and L1 bodies resulting in kyphosis of the spine.

There are widespread lytic lesions throughout the pelvic and right humerus.

 

Case Discussion

This patient had underlying myeloma which resulted in him sustaining the wedge fracture of the lumbar spine upon falling. His anterior wedge fracture resulted in a 75% loss of anterior vertebral body height and thus a significant kyphotic deformity.

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