American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: Editor-in-chief: Apply for this position
Open Access
Journal Browser
American Journal of Medical Case Reports. 2021, 9(12), 717-718
DOI: 10.12691/ajmcr-9-12-14
Open AccessCase Report

Vertebral Body Bruise Resulting in Vertebral Wedging

Ken-ichi Muramatsu1, Youichi Yanagawa1, , Kei Jitsuiki1, Hiroki Nagasawa1 and Kazuhiko Omori1

1Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University

Pub. Date: September 24, 2021

Cite this paper:
Ken-ichi Muramatsu, Youichi Yanagawa, Kei Jitsuiki, Hiroki Nagasawa and Kazuhiko Omori. Vertebral Body Bruise Resulting in Vertebral Wedging. American Journal of Medical Case Reports. 2021; 9(12):717-718. doi: 10.12691/ajmcr-9-12-14


The patient was a 77-year-old man whose head and back impacted the ground after falling from a stepladder. On arrival, plain roentgenography and whole body computed tomography failed to depict a responsible spinal lesion. As he could walk, his wound was sutured and he was discharged to home. However, on the following day, he was unable to stand due to severe back pain. Urgent magnetic resonance image (MRI) revealed a high-intensity signal in the 12th thoracic vertebral body without compressive deformity. Follow-up roentgenography at 10 days showed compressive change at the 12th thoracic vertebral body; thus, a corset was applied at the thoracolumbar position. Final lumbar roentgenography at 6 months revealed compression of the thoracic vertebral body. In the present case an elderly patient, who initially showed a bone bruise, showed delayed compressive changes in the thoracic vertebral body. In our super-aging society, further studies are required to investigate the natural history of vertebral body bruises in elderly individuals.

vertebral body bruise compressive fracture

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


[1]  Teli, M., Roeck, N.D., Horowitz, M.D., Saifuddin, A., Green, R. and Noordeen, H. “Radiographic outcome of vertebral bone bruise associated with fracture of the thoracic and lumbar spine in adults” Eur Spine J, 14(6). 541-5. Aug. 2005.
[2]  Onoue, K., Farris, C., Burley, H., Sung, E., Clement, M., Abdalkader, M. and Mian, A. “Role of cervical spine MRI in the setting of negative cervical spine CT in blunt trauma: Critical additional information in the setting of clinical findings suggestive of occult injury”. J Neuroradiol, S0150. 9861(19)30190.7. May, 2019.
[3]  Atsina, K.B., Rozenberg, A. and Selvarajan, S.K. “The utility of whole spine survey MRI in blunt trauma patients sustaining single level or contiguous spinal fractures” Emerg Radiol, 26(5). 493-500. Oct. 2019.
[4]  Khurana, B., Karim, S.M., Zampini, J.M., Jimale, H., Cho, C.H., Harris, M.B., Sodickson, A.D. and Bono, C.M. “Is focused magnetic resonance imaging adequate for treatment decision making in acute traumatic thoracic and lumbar spine fractures seen on whole spine computed tomography?”. Spine J, 19(3).403-10. Mar. 2019.
[5]  Newell, N., Grant, C.A., Keenan, B.E., Izatt, M.T., Pearcy, M.J. and Adam, C.J. “A comparison of four techniques to measure anterior and posterior vertebral body heights and sagittal plane wedge angles in adolescent idiopathic scoliosis” Med Biol Eng Comput, 55(4). 561-72. Apr. 2017.
[6]  Tsuda, T. “Epidemiology of fragility fractures and fall prevention in the elderly: a systematic review of the literature” Curr Orthop Pract, 28(6).580-5, Nov. 2017.