Vertebra plana

Changed by Doron Goldman Baum, 5 May 2016

Updates to Article Attributes

Body was changed:

Vertebra plana orpancake vertebra is the term given when a vertebral body has lost almost its entire height anteriorly and posteriorly, representing a very advanced crush fracture. It can occur with a variety of settings, including:

  • trauma
  • osteoporosis
  • eosinophilicLangerhans cell histiocytosis
    • proliferation of Langerhans cells and mature eosinophils.
    • most common cause of vertebra plana in children.
    • can present as: lytic lesion (more common), vertebraplana, eosinophilic granuloma (LCH. claasic: double contour (beveled edge). usually involves a single level.
  • osteogenesis imperfecta
  • leukaemia
    • the most common primary pediatric primary malignancy.
    • Loss of vertebral height and increased sclerosis are comm in the vertebral body. 
  • vertebral metastases
  • multiple myeloma
  • lymphoma
    • B symptoms and multiple levels involvement unlike LCH which commonly involves a single level.
  • osteomyelitis
  • Bacterial infection commonly causes disk destruction and vertebralbody end-plate erosions, unlike spinal tuberculosis 2spondylitis commonly causes bone destruction with somewhatrelative disk preservation -> which can cause vertebra plana. However, some form of vertebral end-plate irregularity, sclerosis, or destruction is usually present with spinal TB.
  • vertebral haemangioma

See also

  • platyspondyly: flattened vertebral bodies throughout the entire skeleton
  • -<p><strong>Vertebra plana</strong> or <strong>pancake vertebra</strong> is the term given when a vertebral body has lost almost its entire height anteriorly and posteriorly, representing a very advanced crush fracture. It can occur with a variety of settings, including:</p><ul>
  • +<p><strong>Vertebra plana</strong> or <strong>pancake vertebra</strong> is the term given when a vertebral body has lost almost its entire height anteriorly and posteriorly, representing a very advanced crush fracture. It can occur with a variety of settings, including:</p><ul>
  • -<a href="/articles/langerhans-cell-histiocytosis-skeletal-manifestations">eosinophilic granuloma</a> (LCH)</li>
  • +<a href="/articles/langerhans-cell-histiocytosis-skeletal-manifestations">Langerhans cell histiocytosis</a> <ul>
  • +<li>proliferation of Langerhans cells and mature eosinophils.</li>
  • +<li>most common cause of vertebra plana in children.</li>
  • +<li>can present as: lytic lesion (more common), vertebra<br>plana, eosinophilic granuloma. claasic: double contour (beveled edge). usually involves a single level.</li>
  • +</ul>
  • +</li>
  • -<li><a href="/articles/leukaemia">leukaemia</a></li>
  • +<li>
  • +<a href="/articles/leukaemia">leukaemia</a><ul>
  • +<li>the most common primary pediatric primary malignancy.</li>
  • +<li>Loss of vertebral height and increased sclerosis are comm in the vertebral body. </li>
  • +</ul>
  • +</li>
  • -<li><a href="/articles/lymphoma">lymphoma</a></li>
  • -<li><a href="/articles/osteomyelitis">osteomyelitis </a></li>
  • -<a href="/articles/pott-disease">spinal tuberculosis</a> <sup>2</sup>
  • +<a href="/articles/lymphoma">lymphoma</a><ul><li>
  • +<a href="/articles/lymphoma">​</a> B symptoms and multiple levels involvement unlike LCH which commonly involves a single level.</li></ul>
  • +<li><a href="/articles/osteomyelitis">osteomyelitis </a></li>
  • +<li>Bacterial infection commonly causes disk destruction and vertebral<br>body end-plate erosions, unlike <a href="/articles/pott-disease">spinal tuberculosis</a> spondylitis commonly causes bone destruction with somewhatrelative disk preservation -&gt; which can cause vertebra plana. However, some form of vertebral end-plate irregularity, sclerosis, or destruction is usually present with spinal TB.</li>

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