Rugger jersey spine

Case contributed by Dr Ian Bickle


Low back pain. End stage renal failure. No trauma.

Patient Data

Age: 52
Gender: Male

Alternating bands of sclerosis and lucency throughout the lumbar spine.

The trabeculation is also coarse in the visualized bone of the spine and pelvis.


The origins of this radiological sign are clearly illustrated.

The bands or hoops of a traditional rubgy shirt replicated in the bony changes of the spine.

Case Discussion

Classical radiological appearances of a rugger jersey spine.

These appearances occur in hyperparathyroidism - in the majority of cases this is secondary hyperparathyroidism in those with long term renal failure.

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Case information

rID: 39481
Published: 6th Sep 2015
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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