Non-marginal osteophyte

Case contributed by Dr Mark Holland

Presentation

Referred by GP with right loin pain and known Reiters syndrome

Patient Data

Age: 30
Gender: Male
Modality: X-ray

IVU unremarkable with incidental non-marginal osteophytosis

Case Discussion

Non-marginal osteophyte is a horizontal or vertical osteophyte of the vertebral body observed 2 to 3 mm away from the actual vertebral end-plate.

Small ones are associated with degenerative disc disease and spondylosis deformans. These are called traction osteophytes and are believed to indicate an element of instability in the spine.

Non-marginal osteophyte may fuses with a non-marginal or marginal osteophyte from an adjacent vertebral body 

These larger nonmarginal osteophytes (sometimes called nonmarginal syndesmophytes) are seen in seronegative arthropathies e.g. psoriatic arthritis and reactive arthritis.

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Case Information

rID: 19513
Case created: 18th Sep 2012
Last edited: 15th Feb 2016
Inclusion in quiz mode: Included

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