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Ivory Vertebra Sign

Location

Spine

Diagnosis

Metastases, Paget's disease, lymphoma

Discussion

A uniformly white vertebra with no abnormality of its contour or adjacent disks. The vertebra stands out against the adjacent normal, or darker, vertebral bodies. While the list of possible etiologies of ivory vertebrae is extensive, the most common causes are typically metastatic disease (Figures A, B: metastatic breast cancer), Paget’s disease (Figures C,D), and lymphoma.

Reference

Ochsner HC, Moser RH: Ivory vertebra. AJR Am J Roentgenol 1933; 29:635-637.

Figures

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