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IR Juniors MUSCULOSKELETAL INTERVENTIONS IRBITES WHAT IS IT? Vertebral compression fractures (VCF) can be osteoporotic, malignant or iatrogenic e.g. secondary to steroids, chemotherapy or hormones. Chronic unhealed VCFs cause pain and this is known as Kummel's disease. VCF due to trauma can be grouped by Magerl's classification into 3 groups. Other differential diagnoses for lower back pain include disc tears, herniation, facet joint disease, spinal canal stenosis. DIAGNOSIS MANAGEMENT Vertebral augmentation rID:71323 rID:18198 Vertebroplasty (using PMMA cement) X-ray Lumbar MRI Gold standard for diagnosis ± radiation therapy if malignant Kyphoplasty / stentoplasty (height of lower back pain restoration) Rule out Spinal injections Focal contraindications (CT/fluoroscopy guidthermocoagulation rID:80154 for MRI - anaesthetics/long- SPECT-CT acting steroids for facet joints Magerl Classification of traumatic VCFs A 1-3 Compression IRBITE B 1-3 Distraction C 1-3 Rotation Interventional Radiology Curriculum for Medical Students Radiographs courtesyRadiopaedia.org. Figures courtesy of CIRSEy Ayesa rID: 80154 and Dr Roberto Schubert rID: 18198 IR Bites is a 12 part teaching series for medical students and junior doctors of any grade who want to learn more about interventional radiology. We aim to teach you the CIRSE Interventional Radiology curriculum for medical students.