Latin Neurosurgery
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 Latin Neurosurgery
Case Report

Ivory Vertebra: case reports

Rilton Marcus Morais, Carlos Umberto Pereira, Geraldo Avila Reis, Ronald Alves Barcellos, Eckstanio Marcos de Melo Rocha, Samuel Pedro Pereira Silveira

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Abstract

Ivory vertebra is characterized by increased vertebral density without involvement of the adjacent intervertebral disc. The increase in density may be homogeneous or diffuse. It presents a differential diagnosis with other osteoblastic vertebral lesions. Imaging studies reveal both benign and malignant spinal lesions. Three cases of ivory vertebra, caused by endometrial cancer metastasis, tuberculosis, and lymphoma were reported. The ivory vertebra has several etiologies. Early diagnosis had oriented the treatment according to the underlying cause.

Keywords

ivory vertebra; sclerotic vertebra; bone metastasis; limphoma; computed  tomography.

References

1. Matthews G, Dyer RB. The “ivory vertebra” sign. Abdom Radiol (NY). 2017;42(1):334-6. http://doi.org/10.1007/s00261-016-0866-9. PMid:27518784.
2. Braun RA, Milito CFRB, Goldman SM, Fernandes EA. Ivory vertebra: imaging findings in different diagnoses. Radiol Bras. 2016;49(2):117-21. http://doi.org/10.1590/0100-3984.2014.0103. PMid:27141135. 
3. Graham TS. The ivory vertebra sign. Radiology. 2005;235(2):614-5. http://doi.org/10.1148/radiol.2352021743. PMid:15858100.
4. Basaria S, McCarthy EF, Belzberg AJ, Ball DW. Case of an ivory vertebra. J Endocrinol Invest. 2000;23(8):533-5. http://doi.org/10.1007/BF03343770. PMid:11021770.
5. Carpineta L, Gagné M. The ivory vertebra: an approach to investigation and management based on two case studies. Spine. 2002;27(9):E242-7. http://doi.org/10.1097/00007632-200205010-00026. PMid:11979182.
6. Dennis JM. The solitary dense vertebral body. Radiology. 1961;77(4):618-21. http://doi.org/10.1148/77.4.618. PMid:13885464.
7. Wiesen GT, Melchior EG, Marques AO. Vértebra de marfil. Semin Fund Espanhola Reumatolgista. 2006;7(3):117-20.
8. Barata Tavares J, Santos CM, Cordeiro I, Reimão S, Campos JG. Avaliação tomográfica da coluna vertebral: sinais diagnósticos em tomografia computadorizada. Acta Med Port. 2012;25(Suppl 1):21-4. http://doi.org/10.20344/amp.256. PMid:23177577.
9. Bonnin A, Lévy P, Ghozlan R, Ledoux-Lebard G. Diagnosis of an idiopathic black vertebra. J Radiol Electrol Med Nucl. 1972;53(5):426-8. PMid:5082696.
10. Dell’Atti C, Cassar-Pullinio VN, Lalam RK, Tins BJ, Tyrrell PNM. The spine in Paget’s disease. Skeletal Radiol. 2007;36(7):609-26. http://doi.org/10.1007/s00256-006-0270-6. PMid:17410356.
Figure 6. Axial T2-weighted MRI showing a homogeneous hyperintense lesion at T9 with relatively preserved contours, not affecting adjacent tissues.
11. Kapoor D, Patial RK. Ivory vertebrae – A rare manifestation of vertebral tuberculosis. Indian J Tuberc. 1998;45(4):233-4.
12. Kumar S, Hasan R. Chordoma: A rare presentation as solitary ivory vertebra. J Postgrad Med. 2008;54(1):37-8. http://doi.org/10.4103/0022-3859.39190. PMid:18296805.
13. Larroudé MS, Moggia MS, Man Z. Compromisso vertebral en la Enfermedad de Paget. Rev Argent Reumatol. 2009;20(1):27-30.
14. Latha GM, Moorthy NLN, Chnader DM, Prasad VH, Anil N, Suneeth J. Primary Ewing’s sarcoma of lumbar vertebra – A rare case report. Int J Recent Trends Sci Technol. 2014;11(2):141-2.
15. Mohan V, Gupta SK. Univertebral sclerosis (Ivory vertebrae). Indian J Radiol Imag. 1991:1(SII):775-7.
16. Motamedi K, Ilaslan H, Seeger LL. Imaging of the lumbar spine neoplasms. Semin Ultrasound CT MR. 2004;25(6):474-89. http://doi.org/10.1053/j.sult.2004.09.004. PMid:15663318.
17. Tutar S, Unal M, Yurtsever C, Ozturk E. Ivory vertebra sign. Spine J. 2016;16(7):e413. http://doi.org/10.1016/j.spinee.2015.12.025. PMid:26723261.


Submitted date:
07/30/2025

Accepted date:
08/03/2025

Publication date:
10/09/2025

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