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vertebra plana, MedPix™ : 4906 - Medical Image Database and Atlas
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Location and Category

Location:
More Like This ? Spine
Sublocation:
More Like This ? Vertebral body
Category:
More Like This ? Neoplasm, carcinoma
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More Like This ? vertebra plana
Topic 4906 - Created: 2003-06-27 05:46:43-04 - Modified: 2003-07-08 13:57:58-04
ACR Index: 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.

  • Contributor Credits

    Submitted by: David K Nguyen - Author Info
    Affiliation: Madigan Army Medical Center
    Approved By: James G. Smirniotopoulos, M.D. - Editor Info
    Affiliation: Uniformed Services University


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