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Skeletal Radiology
Published in: Skeletal Radiology 10/2012

01-10-2012 | Scientific Article

Destructive discovertebral degenerative disease of the lumbar spine

Authors: A. K. Charran, G. Tony, R. Lalam, P. N. M. Tyrrell, B. Tins, J. Singh, S. M. Eisenstein, B. Balain, J. M. Trivedi, V. N. Cassar-Pullicino

Published in: Skeletal Radiology | Issue 10/2012

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Abstract

The uncommon variant of degenerative hip joint disease, termed rapidly progressive osteoarthritis, and highlighted by severe joint space loss and osteochondral disintegration, is well established. We present a similar unusual subset in the lumbar spine termed destructive discovertebral degenerative disease (DDDD) with radiological features of vertebral malalignment, severe disc resorption, and “bone sand” formation secondary to vertebral fragmentation. Co-existing metabolic bone disease is likely to promote the development of DDDD of the lumbar spine, which presents with back pain and sciatica due to nerve root compression by the ”bone sand” in the epidural space. MRI and CT play a complimentary role in making the diagnosis.
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Metadata
Title
Destructive discovertebral degenerative disease of the lumbar spine
Authors
A. K. Charran
G. Tony
R. Lalam
P. N. M. Tyrrell
B. Tins
J. Singh
S. M. Eisenstein
B. Balain
J. M. Trivedi
V. N. Cassar-Pullicino
Publication date
01-10-2012
Publisher
Springer-Verlag
Published in
Skeletal Radiology / Issue 10/2012
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-012-1446-x

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