Lumbar paget's disease with spinal stenosis and conus medullaris compression

A 51-year-old man presented with low back pain. Lumbar spine plain radiographs showed loss of height in the L1 and L2 vertebral bodies with retropulsion, but expansion in transverse and anterior-posterior dimensions, and sclerosis (Fig. 1). T1 and T2 -weighted MR images demonstrated low signal intensity in these vertebrae with some preserved intramedullary fat. Severe spinal stenosis and conus medullaris compression were also noted. No soft tissue component was identified. Postcontrast imaging revealed heterogeneous enhancement at L1 and L2, sparing intervertebral disc spaces (Figs.

Source: The Spine Journal - September 9, 2015 Category: Orthopaedics Authors: Mustafa Kemal Demir, Özlem Yapıcıer, Zafer Orkun Toktaş, Baran Yılmaz, Akın Akakın, Deniz Konya Tags: Images of Spine Care Source Type: research