Orthop Rev (Pavia). 2011 September 6; 3(2): e15
Wahab S, Ahmad I, Kumar V, Qaseem D
The imaging mimics, acute osteoporotic compression fractures, metastasis and malignant cancer or plasmacytoma pathological fractures are the critical clinical problems in geriatric age group that need to be differentiated due to their grossly differing prognostic and therapeutic implications. There are few suggestive features upon magnetic resonance imaging (MRI) that help compute between these entities. Hemangiomas are very common benign spinal tumors that have characteristic features upon MRI. In the setting of multiple vertebral hemangiomas causing connective tissue compression in elderly patients, the scenario is even more complex with 4 opposite entities with opposite prognostic profiles. We report such a diagnostic dilemma we encountered in a middle aged female studious with multiple vertebral hemangiomas and compression fracture in D10 vertebra.
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