title: Osteoradionecrosis of the lumbar spine 25 years after radiotherapy.
abstract: Osteoradionecrosis is a rare but recognised complication of radiotherapy. Cases have been described in the cervical spine following treatment for head and neck malignancies up to 25 years after administration of radiotherapy. We present a rare case of osteoradionecrosis affecting the L5 and S1 vertebral bodies in a 58-year-old woman who presented with low back pain 25 years after undergoing a hysterectomy with adjuvant radiotherapy for cancer of the cervix.
authors.affiliation: Stoke Mandeville Hospital, Department of Radiology, Mandeville Road, Aylesbury HP21 8AL, UK. danrolton@hotmail.com
authors.forename: D J
authors.initials: DJ
authors.lastname: Rolton
authors.forename: S E
authors.initials: SE
authors.lastname: Blagg
authors.forename: R J
authors.initials: RJ
authors.lastname: Hughes
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007044:Hysterectomy; D017116:Low Back Pain / Q000209:etiology; D008159:Lumbar Vertebrae / Q000528:radiation effects*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010025:Osteoradionecrosis / Q000175:diagnosis / Q000209:etiology*; D012447:Sacrum / Q000528:radiation effects*; D013122:Spinal Diseases / Q000175:diagnosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy* / Q000601:surgery