Differential Diagnosis of a Pathological Spine Fracture.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 30067919.
- Also identified by DOI 10.2519/jospt.2018.7768.
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Abstract
A 71-year-old woman with a 10-month history of atraumatic low back pain was referred to physical therapy after an insidious exacerbation of symptoms. Red flags raised suspicions for spinal compression fracture, necessitating the physical therapist to contact her physician and recommend imaging. Radiographs and magnetic resonance imaging were ordered, the latter of which showed an acute fracture at T10, with lesions at T9 and in the liver suggesting metastasis. Following bone scintigraphy and an ultrasound-guided biopsy of a liver lesion, she was diagnosed with metastatic breast cancer. J Orthop Sports Phys Ther 2018;48(7):595. doi:10.2519/jospt.2018.7768.
Medical subject headings
- Breast Neoplasms
- Low Back Pain
- Spinal Fractures
- Spinal Neoplasms