The following may be present:

♦ Visible or palpable gibbus at the site of a wedged or collapsed vertebra

♦ Pain and tenderness on palpation or percussion of the vertebra over the site of compression

♦ Band of hyperaesthesia at the level of the lesion

♦ Sensory and motor loss (with defects of power and sensation) at and below the level of the lesion

The lesion may be partial or complete and the nature of the defect may depend on the portion of the cord compressed. In a patient presenting with spinal cord compression without a history of malignancy, the examination and investigations should also be directed towards excluding an underlying malignancy.

0 0

Post a comment