Rugger jersey spine

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Low back pain. End stage renal failure. No trauma.

Patient Data

Age: 52
Gender: Male
x-ray

Alternating bands of sclerosis and lucency throughout the lumbar spine.

The trabeculation is also coarse in the visualized bone of the spine and pelvis.

x-ray

The origins of this radiological sign are clearly illustrated.

The bands or hoops of a traditional rubgy shirt replicated in the bony changes of the spine.

Case Discussion

Classical radiological appearances of a rugger jersey spine.

These appearances occur in hyperparathyroidism - in the majority of cases this is secondary hyperparathyroidism in those with long term renal failure.

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