Arana E
Servicio de Radiodiagnóstico, Fundación IVO, Red Española de Investigadores en Dolencias de la Espalda (REIDE), Valencia, Spain.
Rev Esp Cir Ortop Traumatol. 2024 Nov-Dec;68(6):T582-T586. doi: 10.1016/j.recot.2024.08.006. Epub 2024 Aug 10.
Vertebral compression fractures by osteoporosis (OVF) is usually a diagnostic problem and coincides on the age group of metastatic vertebral compression fractures (MVF). Although radiography is the first diagnostic technique, generally is not accurate for depicting demineralization and soft tissue lesions. Magnetic resonance (MRI) is the diagnostic choice. The most relevant signs are intravertebral fluid collection or fluid signal, other vertebral deformities without oedema and older age. Among the most relevant findings for diagnosis MVF are soft tissue mass and pedicle intensity signal asymmetries. However, reproducibility of these findings in clinical practice is moderate.