Dysmorphic Vertebral Body



Dysmorphic Vertebral Body


Julia Crim, MD



DIFFERENTIAL DIAGNOSIS


Common



  • Single Vertebral Body



    • Post-Traumatic Deformity


    • Schmorl Node


    • Limbus Vertebra


    • Lytic Osseous Metastases


  • Multiple but not all Vertebral Bodies



    • Abnormal Segmentation



      • Partial Vertebral Duplication


      • Vertebral Segmentation Failure


      • Klippel-Feil Spectrum


    • Scheuermann Disease


    • Scoliosis


    • Lytic Osseous Metastases


    • Juvenile Idiopathic Arthritis


    • Neurogenic (Charcot) Arthropathy


    • Post-Radiation Changes


  • Diffusely Abnormal Vertebral Bodies



    • Sickle Cell


    • Osteogenesis Imperfecta


    • Achondroplasia


Less Common



  • Single Vertebral Body



    • Kümmell Disease


    • Osteochondroma


    • Ewing Sarcoma


    • Langerhans Cell Histiocytosis


  • Multiple Vertebral Bodies



    • Pyogenic Osteomyelitis


    • Granulomatous Osteomyelitis


  • Diffusely Abnormal Vertebral Bodies



    • Thanatophoric Dwarfism


    • Mucopolysaccharidoses


ESSENTIAL INFORMATION


Key Differential Diagnosis Issues



  • Single vertebrae with abnormal appearance usually post-traumatic


  • 2 or more adjacent vertebrae with abnormal appearance usually segmentation anomaly


Helpful Clues for Common Diagnoses

Aug 10, 2016 | Posted by in PEDIATRICS | Comments Off on Dysmorphic Vertebral Body

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