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Increasing Back ± Leg Pain & Deformity

Symptoms of increasing Back ± Leg Pain & Deformity

Continuous increasing back pain in the absence of a temperature rise & increasing deformity ± leg pain.

Presentation	Diagnosis	Options
Gradual onset usually without any history of trauma	Possible vertebral body malignant deposit / tumour or Tuberculosis or related pathologies	Scan initial diagnosis, Biopsy for definition, internal stabilisation as appropriate, specific treatment of cancer or Tuberculosis.
Gradual onset usually without any history of trauma
Gradual onset of sideways deformity or list.	Degenerate scoliosis with lateral osteophytosis	Removal of the impinging osteophytes endoscopically ± alignment correction & fusion,
Onset over a few days / weeks without significant trauma	Osteoporotic vertebral body fracture.	Kyphoplasty / vertebroplasty.