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American Journal of Roentgenology, Vol 173, 1679-1683, Copyright © 1999 by American Roentgen Ray Society

ARTICLES

Hyperextension vertebral body fractures in diffuse idiopathic skeletal hyperostosis: a cause of intravertebral fluidlike collections on MR imaging

PX Le Hir, A Sautet, L Le Gars, F Zeitoun, JM Tubiana, L Arrive and JD Laredo
Department of Radiology, Hopital Saint-Antoine, Paris, France.

OBJECTIVE: We describe an intravertebral fluidlike collection observed on MR images in five of six patients who sustained vertebral body fracture through a segment of the spine ankylosed by diffuse idiopathic skeletal hyperostosis. The mechanism of injury, clinical course, conventional radiographs, CT scans, and other MR imaging findings are analyzed. CONCLUSION: Intravertebral fluidlike collections were associated with hyperextension injury of the spine. Well-delineated borders, anterior widening, and associated posterior-element injury are the main MR imaging characteristics of this trauma-related intravertebral fluidlike collection.
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Copyright © 1999 by the American Roentgen Ray Society.