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Updated: Oct 14, 2025

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
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Back Pain Due to Kummell's Disease.

Gurubharath Ilangovan1, Narmada DA1, Nikhil Murugadass1

  • 1Radiology, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Chennai, IND.

Cureus
|November 2, 2021
PubMed
Summary
This summary is machine-generated.

Kummell's disease is a rare delayed consequence of vertebral fractures causing avascular osteonecrosis. Early diagnosis and treatment are crucial for managing back pain and preventing complications.

Keywords:
avascular osteonecrosisback painintervertebral fluid cleftkummell’s diseasepreventive orthopedicsvertebral bodyvertebral fracture

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Area of Science:

  • Orthopedics
  • Radiology
  • Neurosurgery

Background:

  • Kummell's disease (KD) is a delayed post-traumatic avascular osteonecrosis of the vertebral body.
  • It often results from vertebral compression fractures and can manifest as back pain.

Observation:

  • A 55-year-old male with a history of hip avascular necrosis (AVN) presented with progressive lower back pain and motor deficits.
  • MRI revealed multiple vertebral compression fractures and an L2 intervertebral disc fluid cleft.
  • The patient opted for non-surgical management including bed rest, bracing, and traction.

Findings:

  • Prompt and accurate diagnosis of Kummell's disease is essential.
  • Delayed diagnosis can lead to severe complications and reduced quality of life.

Implications:

  • This case highlights the importance of recognizing KD in patients with a history of trauma and persistent back pain.
  • Timely intervention can improve patient outcomes and prevent comorbidities associated with vertebral osteonecrosis.