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Kümmell Disease
Jeffrey S. Ross, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Post-traumatic avascular necrosis of vertebral body

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      • Nuclear Medicine Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Wang Q et al: Pathomechanism of intravertebral clefts in osteoporotic compression fractures of the spine: basivertebral foramen collapse might cause intravertebral avascular necrosis. Spine J. 14(6):1090-1, 2014
                                        2. Lin CL et al: MRI fluid sign is reliable in correlation with osteonecrosis after vertebral fractures: a histopathologic study. Eur Spine J. 22(7):1617-23, 2013
                                        3. Voulgari PV et al: Avascular necrosis in a patient with systemic lupus erythematosus. Joint Bone Spine. 80(6):665, 2013
                                        4. Wu AM et al: Vertebral compression fracture with intravertebral vacuum cleft sign: pathogenesis, image, and surgical intervention. Asian Spine J. 7(2):148-55, 2013
                                        5. van der Schaaf I et al: Percutaneous vertebroplasty as treatment for Kummell's disease. JBR-BTR. 92(2):83-5, 2009
                                        6. Swartz K et al: Kümmell's disease: a case report and literature review. Spine (Phila Pa 1976). 33(5):E152-5, 2008
                                        7. Jang JS et al: Efficacy of percutaneous vertebroplasty in the treatment of intravertebral pseudarthrosis associated with noninfected avascular necrosis of the vertebral body. Spine. 28(14):1588-92, 2003
                                        8. Lane JI et al: Intravertebral clefts opacified during vertebroplasty: pathogenesis, technical implications, and prognostic significance. AJNR Am J Neuroradiol. 23(10):1642-6, 2002
                                        9. Young WF et al: Delayed post-traumatic osteonecrosis of a vertebral body (Kummell's disease). Acta Orthop Belg. 68(1):13-9, 2002
                                        10. Chou LH et al: Idiopathic avascular necrosis of a vertebral body. Case report and literature review. Spine. 22(16):1928-32, 1997
                                        11. The intravertebral vacuum phenomenon ("vertebral osteonecrosis"): intradiscal gas in a fractured vertebral body? Spine. 22(16):1885-91, 1997
                                        12. Dupuy DE et al: Vertebral fluid collection associated with vertebral collapse. AJR Am J Roentgenol. 167(6):1535-8, 1996
                                        13. Malghem J et al: Intravertebral vacuum cleft: changes in content after supine positioning. Radiology. 187(2):483-7, 1993
                                        14. Naul LG et al: Avascular necrosis of the vertebral body: MR imaging. Radiology. 172(1):219-22, 1989
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Definitions

                                                      • Post-traumatic avascular necrosis of vertebral body

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Nuclear Medicine Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Wang Q et al: Pathomechanism of intravertebral clefts in osteoporotic compression fractures of the spine: basivertebral foramen collapse might cause intravertebral avascular necrosis. Spine J. 14(6):1090-1, 2014
                                                                              2. Lin CL et al: MRI fluid sign is reliable in correlation with osteonecrosis after vertebral fractures: a histopathologic study. Eur Spine J. 22(7):1617-23, 2013
                                                                              3. Voulgari PV et al: Avascular necrosis in a patient with systemic lupus erythematosus. Joint Bone Spine. 80(6):665, 2013
                                                                              4. Wu AM et al: Vertebral compression fracture with intravertebral vacuum cleft sign: pathogenesis, image, and surgical intervention. Asian Spine J. 7(2):148-55, 2013
                                                                              5. van der Schaaf I et al: Percutaneous vertebroplasty as treatment for Kummell's disease. JBR-BTR. 92(2):83-5, 2009
                                                                              6. Swartz K et al: Kümmell's disease: a case report and literature review. Spine (Phila Pa 1976). 33(5):E152-5, 2008
                                                                              7. Jang JS et al: Efficacy of percutaneous vertebroplasty in the treatment of intravertebral pseudarthrosis associated with noninfected avascular necrosis of the vertebral body. Spine. 28(14):1588-92, 2003
                                                                              8. Lane JI et al: Intravertebral clefts opacified during vertebroplasty: pathogenesis, technical implications, and prognostic significance. AJNR Am J Neuroradiol. 23(10):1642-6, 2002
                                                                              9. Young WF et al: Delayed post-traumatic osteonecrosis of a vertebral body (Kummell's disease). Acta Orthop Belg. 68(1):13-9, 2002
                                                                              10. Chou LH et al: Idiopathic avascular necrosis of a vertebral body. Case report and literature review. Spine. 22(16):1928-32, 1997
                                                                              11. The intravertebral vacuum phenomenon ("vertebral osteonecrosis"): intradiscal gas in a fractured vertebral body? Spine. 22(16):1885-91, 1997
                                                                              12. Dupuy DE et al: Vertebral fluid collection associated with vertebral collapse. AJR Am J Roentgenol. 167(6):1535-8, 1996
                                                                              13. Malghem J et al: Intravertebral vacuum cleft: changes in content after supine positioning. Radiology. 187(2):483-7, 1993
                                                                              14. Naul LG et al: Avascular necrosis of the vertebral body: MR imaging. Radiology. 172(1):219-22, 1989