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Malignant Metastasis Misdiagnosed as Osteoporotic Compression Fracture: A Case Report.
Korean J Neurotrauma. 2018 Apr;14(1):39-42
Authors: Kim SG, Ju CI, Wang HS, Kim SW
Summary
In circumstances of vertebral collapse after a trivial harm in aged sufferers with extreme osteoporosis, it may be a diagnostic problem to find out whether or not the trigger is a benign compression fracture or malignant metastasis. A 78-year-old male affected person was referred to the emergency division for the analysis of weak spot of the left decrease limb. He had undergone percutaneous vertebroplasty 4 months earlier after being recognized with L3 osteoporotic compression fracture. He was handled with foraminotomy on the L3-Four stage after being recognized with foraminal stenosis two months earlier at a backbone clinic. Magnetic resonance (MR) pictures confirmed important sign change from the vertebral physique to the posterior aspect, and extensively spreading extraspinal extension of soppy tissue at L3. Computed tomography scan revealed osteolytic modifications in areas together with the ventral physique and pedicle. Emergent decompressive laminectomy and bone biopsy had been carried out, and the histologic analysis confirmed metastatic squamous cell carcinoma. A retrospective overview of earlier MR pictures confirmed apparent pedicle and aspect involvement, and paraspinal extension of soppy tissue, that are extremely suggestive of malignant metastasis.
PMID: 29774199 [PubMed]