Rugger-jersey spine

Case contributed by Dr Bruno Di Muzio


HIV positive patient with lymphoma.

Patient Data

Age: 36
Gender: Male

Abdomen X-ray

Modality: X-ray

Signals of hepatosplenomegaly. Vertebral bodies shows bandlike regions of increased opacity at its superior and inferior margins. 

CT Abdomen and pelvis (selected images)

Modality: CT

The CT study shows sclerotic bands on the inferior and superior endplates of vertebral bodies (alternating dense-lucent-dense appearance) that represents accumulations of excess osteoid. It affects all vertebral bodies.

Case Discussion

Rugger jersey spine describes the prominent sub-endplate densities at multiple contiguous levels to produce an alternating dense-lucent-dense appearance. This simulates the transverse bands of rugby sweater.

The patient had a normal renal function at the moment of the exam. Unfortunately, there were no further clinical information about a possible hyperparathyroidism.

Although this vertebral sign is relatively specific for hyperparathyroidism, a similar appearance may be seen in Paget disease and osteopetrosis.

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Case Information

rID: 20319
Case created: 12th Nov 2012
Last edited: 9th Sep 2015
Tag: spine
Inclusion in quiz mode: Included

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