BACKGROUND: Determining the actual painful vertebral level is difficult when evaluating @entity3604 , especially when there are acute and chronic @entity174 simultaneously. In this study, we retrospectively evaluated and compared the findings between plain film, bone scan, and magnetic resonance imaging (MRI) in the diagnosis of new @entity174 in @entity3604 . METHODS: This is a retrospective clinical study of @entity1 who were diagnosed with @entity3604 using plain film, bone scan, and MRI within a 1-month interval between February 2008 and December 2012. The findings in plain film, the extent of increased uptake in bone scan, and signal change in MRI were compared to evaluate the actual level of @entity158 . All @entity1 received percutaneous vertebroplasty according to MR finding. @entity158 scores (visual analog scale) of the study @entity1 were compared prior to and after the procedure. RESULTS: A total of 52 @entity1 with a mean age of 79.1 years (range 59-92 years) were enrolled in this study, and were treated by vertebroplasty confirmed by MRI. It was observed that @entity1 @entity158 score (visual analog scale) improved from 7.6 to 2.8. Plain film examination revealed 79 vertebrae that were suspected to be compression @entity174 . Among the suspected vertebrae, 62 showed increased uptake in bone scan, and MRI showed bony @entity4 change in 58 vertebrae. The consistency between bone scan and MRI was 96.9% in @entity1 with single-level suspected @entity174 on plain film. There was moderate agreement (kappa was 0.56) in @entity1 where multiple levels were noted. Fifteen vertebrae with vacuum cleft sign on plain film showed total concordance in both bone scan and MRI. CONCLUSION: For @entity1 with single-level compression @entity174 , the painful level in @entity3604 can be determined by plain film and bone scan testing. Vacuum cleft sign noted on plain film may be enough to localize the level of @entity158 . However, MRI testing is further needed in multiple @entity3604 @entity1 .

Determination of the painful level in XXXX -Retrospective comparison between plain film, bone scan, and magnetic resonance imaging.

@entity3604 :: ('MESH:D058866', 'Disease') :: ['osteoporotic vertebral fracture', 'osteoporotic vertebral fractures'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture'] @entity4 :: ('MESH:D004487', 'Disease') :: ['edema'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Pain', 'pain']
@entity3604 :: (MESH:D058866,Disease) :: ['osteoporotic vertebral fractures']
