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Related Experiment Videos

Delayed posttraumatic vertebral collapse with intravertebral vacuum cleft.

Melanie D Osterhouse1, Norman W Kettner

  • 1Department of Radiology, Logan College of Chiropractic, 1851 Schoettler Road, Chesterfield, Missouri 63006-1065, USA.

Journal of Manipulative and Physiological Therapeutics
|May 22, 2002
PubMed
Summary

This case highlights Kummell's disease, a delayed vertebral collapse often linked to corticosteroid use. The intravertebral vacuum cleft can change, necessitating further research into its causes and radiographic signs.

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Area of Science:

  • Spine surgery
  • Traumatology
  • Geriatric medicine

Background:

  • Kummell's disease is a rare condition characterized by delayed posttraumatic vertebral collapse.
  • Long-term corticosteroid therapy is a potential contributing factor, as seen in this case.
  • The exact etiology and pathophysiology of Kummell's disease remain controversial.

Observation:

  • A 79-year-old male presented with delayed vertebral collapse and an intravertebral vacuum cleft after a minor twist.
  • Initial radiographs showed degenerative changes, but a subsequent exam revealed marked L2 compression.
  • The patient was on high-dose prednisone for myasthenia gravis, impacting treatment options.

Findings:

  • The intravertebral vacuum cleft is a dynamic entity that can change in size and shape.

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  • This case challenges previous reports suggesting Kummell's disease only presents as a linear cleft.
  • Radiographic findings require further investigation to correlate with underlying pathophysiology.

    • Implications:

    • Further clinical research is essential to elucidate the definitive etiology and pathophysiology of Kummell's disease.
    • This case underscores the importance of considering Kummell's disease in patients with risk factors like corticosteroid use.
    • Understanding the dynamic nature of the intravertebral vacuum is crucial for accurate diagnosis and management.