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MedPix® Medical Image DatabaseDisease Topic 4906
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Contributor: David K Nguyen - Madigan Army Medical Center
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More Like This ? vertebra plana
Factoid 4906 - Created: 2003-06-27 05:46:43-04 - Modified: 2003-07-08 13:57:58-04
ACR Codes: 3.3
Marked flattening of a vertebral body is termed vertebra plana.
Langerhans cell histiocytosis is the most common cause of vertebra plana. Other disease processes should be considered in the differential diagnosis if the clinical situation warrants. Other causes of vertebra plana include:
  • multiple myeloma
  • metastatic disease
  • Ewing sarcoma
  • lymphoma
  • leukemia
  • Gaucher disease
  • aneurysmal bone cyst
  • trauma
  • infection

    Because most lesions spontaneously regress, vertebra plana is often treated conservatively. In young patients, vertebral height typically is partially restored with growth of the skeleton. Temporary bracing may help to relieve symptoms.

    Radiation may be indicated for treatment of mild neurologic signs. Surgical decompression and fusion with instrumentation is indicated for rapidly progressive neurologic signs or cord compression that is not responsive to radiation.
    • Reference(s):
    Canale: Campbell's Operative Orthopaedics, 10th ed., Copyright © 2003 Mosby, Inc.
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    Location:
    Spine     		Sublocation:
    Vertebral body    		Category:
    Neoplasm, carcinoma
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    Prepared by: David K Nguyen
    Affiliation: Madigan Army Medical Center - || - Author Profile
    Approved by: James G. Smirniotopoulos, M.D.
    Affiliation: Uniformed Services University - || - Editor Profile
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