Spinal Neoplasms (Subscribe)  

Radiology case 331-3141 The usual plain film of a middle aged adult with back pain. Effectively an incidental finding.
There is a coarsening of the bone texture with relative preservation of vertical trabecula in the body of the third lumbar vertebra. There is spondylotic change between L4 and L5 with disc...

x-ray:
* slight loss of density of vertebral body
* vertically striped orientation of bone trabeculae ("corduroy cloth") which may extend into the pedicle
* occ. with posterior bulging
* cortical margins usually intact

Journal of Orthopaedic Surgery: 2005 13(3) 232 Review of Hong Kong experience with 12 patients. Conclusion: Surgical stabilization in selected patients provided pain relief and preserved ambulatory status before the deterioration of overall function. (full text)

Article by Huff 2007
Contents - Introduction; Clinical; Differentials; Workup; Treatment; Medication; Follow-up; Miscellaneous; Multimedia; References
Synonyms and related keywords: neoplastic disease, spinal cord compression, primary spinal cord tumors, metastatic lesions, spinal cord dysfunction, spinal cord metastasis, epidural spinal cord compression, partial cord compression, Brown-Séquard syndrome, hemangiomas, scoliosis, torticollis, vertebral metastasis, leptomeningeal...

Radiology case 416-3313 Male patient. Presented at the age of 20 years with low back pain. Became paraplegic at the age of 38 years and an ependymoma was excised. Developed a fracture of the humerus at the age of 57 years.
The image was taken through a plaster cast. It shows...

Spinal metastases are common in malignant tumors. On X rays one of the first signs is disappearance of the pedicle on the AP X-ray. This is known as the winking owl sign

Article by Shneiderman & Alexander 2006
Synonyms and related keywords: tumors of the conus and cauda equina, cauda equina syndrome, CES, conus medullaris syndrome, spinal cord tumors, spinal cord neoplasms, spinal cord mass, spine mass, spine tumor, spine neoplasm, ependymoma, astrocytoma, intradural-extramedullary tumor, intramedullary tumor, extradural tumor, intra-axial tumors, intraaxial tumors,...

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