Author(s): Satish Danappa Patil1, Parth Avinash Vaishnav2, Vishal Sharanbasappa Nimbal3, Shivanand Veerupakshappa Patil4,Veeresh Karibasappa Hanchinal5
Vertebral collapse is the breakdown of a vertebra resulting in a decreased height of its body and can develop anywhere along spinal cord from neck to the lower spine. Magnetic resonance imaging is the gold standard in imaging for suspected vertebral collapse.
MATERIALS AND METHODS
The study is basically a prospective observational study conducted on 50 cases from December 2014 to June 2016. The group comprised of patients who were referred to Department of Radiodiagnosis with complaint of back pain, lower limb weakness and generalised body ache.
The study showed that there was a male predominance with 66% and 34% being females. The age of presentation in maximum number of patients were in the age group of 31-40 (22%), followed by 51-60 years (20%) and 61-70 years (20%). Vertebral collapse was most commonly seen in lumbar spine in 43.4% cases followed by dorsal spine in 39.1% cases. Out of 50 cases, solitary vertebral collapse was seen in a total of 10 cases (20%) presenting with traumatic aetiology in 6 cases (12%) and 2 cases each (4%) due to metastasis and osteoporosis. 40 cases (80%) presented with multiple vertebral collapses, majority of them osteoporotic in nature. In present study, MRI diagnosed 100% malignant collapse cases.
It was concluded in our study that the MRI helps to evaluate various Magnetic Resonance Imaging (MRI) features in differentiating malignant from benign vertebral collapses, which aid to achieve the goals of preservation of neurologic function and restoration of spinal stability.