Increasing Back ± Leg Pain & Deformity

 

Symptoms

  • 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 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.