EURORAD ESR

Case 12546

Kümmell's disease

Author(s)
Luis Gijón de la Santa, Irene Méndez Mesón, José Antonio Pérez Retortillo.

Hospital Universitario de Guadalajara
C/Donantes de Sangre S/N; 19004
Guadalajara, Spain
E-mail:luigigijon@gmail.com
 
Patient
female, 81 year(s)
 
 
  • Figure 1
    X-ray plain film

    Lumbar plain film shows a T12 body collapse because of a horizontal fracture. Note the horizontal radiolucent line due to the presence of intravertebral gas (white arrows).

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 2
    MDCT Sagittal reconstruction

    Sagittal CT reconstruction shows a T12 body collapse because of an horizontal fracture with intravertebral gas.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 3
    MRI

    Sagittal T1 (A) and T2- weighted images (B) show a collapse of T12 with two differents areas. Posterior zone shows a fluid intravertebral collection and anterior zone reveals the vacuum cleft sign (white arrows).

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 4
    MRI

    Axial T2 weighted image at T12 fracture. Note the air fluid level (white arrow).

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 5
    MRI

    Sagittal T2 weighted image shows an intravertebral fluid collection without body collapse (white arrow).

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;
     
     
Lumbar plain film shows a T12 body collapse because of a horizontal fracture. Note the horizontal radiolucent line due to the presence of intravertebral gas (white arrows).
 
Sagittal CT reconstruction shows a T12 body collapse because of an horizontal fracture with intravertebral gas.
 
Sagittal T1 (A) and T2- weighted images (B) show a collapse of T12 with two differents areas. Posterior zone shows a fluid intravertebral collection and anterior zone reveals the vacuum cleft sign (white arrows).
 
Axial T2 weighted image at T12 fracture. Note the air fluid level (white arrow).
 
Sagittal T2 weighted image shows an intravertebral fluid collection without body collapse (white arrow).
 
 
 
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