Plasmacytoma

57 y/o with history of back pain for 4 weeks. Presents with acute worstening without trauma.

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A pathological compression fracture of L1 is seen on plain films and CT which show a heterogenous lytic lesion of the vertebral body and posterior elements. The diagnosis was suggested by percutaneous needle biopsy and confirmed at surgery when a rib strut graft and plate were placed between T12 and L1.
September 28, 2003 Back to teaching file index