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Case Report
SPINE

Acute Vertebral Compression Fractures in Patients with Multiple Myeloma: Evaluation of Vertebral Body Edema Patterns on MR Imaging and the Implications for Vertebroplasty

K.F. Laytona, K.R. Thielenb, H.J. Cloftb and D.F. Kallmesb

a Department of Radiology, Baylor University Medical Center, Dallas, Tex
b Department of Radiology, Mayo Clinic, Rochester, Minn

Please address correspondence to: Kennith F. Layton, MD, Department of Radiology, Baylor University Medical Center, 3500 Gaston Ave, Dallas, TX 75246; email: klayton{at}americanrad.com

SUMMARY: The presence of edema on MR imaging is a common finding in acute or subacute vertebral body compression fractures. Compression fractures can present in patients with benign osteoporosis, metastases, multiple myeloma, or hemangiomas. We present 2 patients with multiple myeloma who had symptomatic acute and subacute compression fractures documented on imaging studies without associated edema on MR imaging evaluation.




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R.J. McDonald, A.T. Trout, L.A. Gray, A. Dispenzieri, K.R. Thielen, and D.F. Kallmes
Vertebroplasty in Multiple Myeloma: Outcomes in a Large Patient Series
AJNR Am. J. Neuroradiol., April 1, 2008; 29(4): 642 - 648.
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