Ivory vertebra

Changed by Francis Fortin, 5 Sep 2018

Updates to Article Attributes

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The ivory vertebra sign refers to diffuse and homogeneous increase in opacity of a vertebral body that otherwise retains its size and contours, and with no change in the opacity and size of adjacent intervertebral discs.

Pathology

Aetiology

The cause for an ivory vertebra depends on the age of the patient ¹.

Paediatric

lymphoma: commonest cause, usually Hodgkin lymphoma
osteosarcoma
osteoblastoma
blastic metastatic disease
- neuroblastoma
- medulloblastoma
- Ewing sarcoma (rare)

Adult

osteoblastic metastases
- prostate cancer
- breast cancer
lymphoma
tuberculous spondylitis
haemangioma
chordoma
Paget disease of bone
- vertebral body expansion (unlike haemangioma)
- coarsened trabeculae

SAPHO syndrome³

~~-<li><a href="/articles/pott-disease">tuberculous spondylitis</a></li>~~
+<li><a href="/articles/tuberculous-spondylitis-2">tuberculous spondylitis</a></li>
+<li>
+<a title="SAPHO syndrome" href="/articles/sapho-syndrome">SAPHO syndrome</a> <sup>3</sup>
+</li>

References changed:

3. Parlier-Cuau C, Laredo J. [Vertebral involvement in SAPHO syndrome]. (2010) Journal de radiologie. 91 (9 Pt 2): 1068-78. <a href="https://www.ncbi.nlm.nih.gov/pubmed/20814397">Pubmed</a> <span class="ref_v4"></span>

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