Presentation
History of back pain for 4 weeks. Presents with acute worsening without trauma.
Patient Data
Age: 60 years
From the case:
Pathological vertebral crush fracture: plasmacytoma
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A pathological compression fracture of L1 is seen on plain films
From the case:
Pathological vertebral crush fracture: plasmacytoma
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CT axial image through L1 and sagittal reconstructions show a heterogenous lytic lesion of the vertebral body and posterior elements.
Case Discussion
The diagnosis of plasmacytoma was suggested by percutaneous needle biopsy and confirmed at surgery when a rib strut graft and plate were placed between T12 and L1.