Vertebral fluid collection associated with vertebral collapse

• Published in: American journal of roentgenology (1976) Vol. 167; no. 6; pp. 1535 - 1538
• Main Authors: Dupuy, DE, Palmer, WE, Rosenthal, DI
• Format: Journal Article
• Language: English
• Published: Leesburg, VA Am Roentgen Ray Soc 01.12.1996; American Roentgen Ray Society
• Subjects: Aged; Aged, 80 and over; Biological and medical sciences; Diagnosis, Differential; Female; Fractures, Spontaneous - chemically induced; Fractures, Spontaneous - complications; Humans; Injuries of the limb. Injuries of the spine; Investigative techniques, diagnostic techniques (general aspects); Magnetic Resonance Imaging; Medical sciences; Osteoarticular system. Muscles; Osteonecrosis - diagnosis; Osteonecrosis - pathology; Osteoporosis, Postmenopausal - complications; Osteoporosis, Postmenopausal - diagnosis; Radiodiagnosis. Nmr imagery. Nmr spectrometry; Spinal Fractures - complications; Spinal Fractures - diagnosis; Spinal Neoplasms - diagnosis; Spine - pathology; Traumas. Diseases due to physical agents; Human; Radiodiagnosis; Diseases of the osteoarticular system; Vertebra; Bone disease; Fracture; Trauma; Hemorrhage; Nuclear magnetic resonance imaging; Guidance; Osteoporosis; Biopsy; Medical imagery; Computerized axial tomography; Diagnosis; Bone; Woman
• ISSN: 0361-803X; 1546-3141
• DOI: 10.2214/ajr.167.6.8956592

Three elderly women with osteoporotic compression fractures of a vertebral body underwent MR imaging because of neurologic signs and symptoms. Atypical fluid collections were shown by MR imaging in all three patients. For histologic characterization of these vertebral fluid collections, CT-guided biopsies and aspirations were done for all three patients. After studying the clinical, histologic, and imaging features of these fluid collections associated with vertebral fracture, we suggest that they are most likely associated with underlying avascular necrosis.