Abstract
An intravertebral vacuum phenomenon was observed within 19 vertebrae of 17 patients. It represents a non-healing vertebral fracture. Three possible pathologic mechanisms are discussed: ischemic bone necrosis, trauma with ensuing ischemic necrosis, and intraosseous disc prolapse. The intravertebral vacuum phenomenon was found in two patients with multiple myeloma and thus does not exclude the presence of malignancy in the affected bone. Radiographs obtained during traction or extension may be of diagnostic value.
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Bergmann EW (1949) Fractures of the ankylosed spine. J Bone Joint Surg [Am] 31:669
Brower AC, Downey EF (1981) Kümmell disease: report of a case with serial radiographs. Radiology 141:363
Dihlman W, Delling G (1978) Disco-vertebral obstructive lesions (so-called Andersson lesions) associated with ankylosing spondylitis. Skeletal Radiol 3:10
Duquesnoy B, Thévenon A, Siame JL, L'Hermine C, Delcambre B, (1982) Phénomène du vide intravertébral: ostéonécrose vertébrale ou simple tassement ostéoporotique. Rev Rhum Mal Osteoartic 49:35
Feldmann JL, Menkès CH, Amor B, Chevrot A, Delbarre F (1981) L'ostéonécrose vertébrale de l'adulte. Rev Rhum Mal Osteoartic 48:773
Ford LT, Gilula LA, Murphy WA, Gado M (1977) Analysis of gas in vacuum lumbar disc. AJR 128:1056
Gelman MI, Umber JS (1978) Fractures of the thoracolumbar spine in ankylosing spondylitis. AJR 130:485
Lardé D, Mathieu D, Frija J, Gaston A, Vasile N (1982) Spinal vacuum phenomenon: CT diagnosis and significance. J Comput Assist Tomogr 6:671
Maldague BE, Noel HM, Malghem JJ (1978) The intravertebral vacuum cleft: a sign of ischemic vertebral collapse. Radiology 129:23
Michel JL, Bouzat J, Rivoal A, De Pradel de Lamaze P, Viallet JF, Belin J, Merle P (1982) La dissection gazeuse du corps vertébral ou phénomène du vide intrasomatique vertébral. J Radiol 63:479
Resnick D, Niwayama G, Guerra J Jr, Vint, V, Usselman J (1981) Spinal vacuum phenomenon: anatomical study and review. Radiology 137:341
Schabel SI, Moore TE, Rittenberg GM, Stanley JH, Javid LH (1979) Vertebral vacuum phenomenon: a radiographic manifestation of metastatic malignancy. Skeletal Radiol 4:154
Stojanovic J, Kovac V (1981) Diagnosis of ischemic vertebral collapse using selective spinal angiography. Fortschr Geb Röntgenstr Nuklearmed Ergänzungsband 135:326
Wendling D, Cassou M, Guidet M (1983) L'image de clarité gazeuse intra-vertébrale. Rev Rhum Mal Osteoartic 50:607
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Kumpan, W., Salomonowitz, E., Seidl, G. et al. The intravertebral vacuum phenomenon. Skeletal Radiol 15, 444–447 (1986). https://doi.org/10.1007/BF00355102
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DOI: https://doi.org/10.1007/BF00355102