A 65 year old female attended th Ohopaedics OPD with a chief complaint of chronic back ache. The radiograph of lumbar spine is obtained. What could be the most probable diagnosis?: (A) Rheumatoid Ahritis, (B) Osteoporosis, (C) Renal Osteodystrophy, (D) Paget's Disease
Answer is B. The given history of back pain in a 65 year old female with the above given radiograph points towards the diagnosis of Osteoporosis. Radiograph shows multiple endplate compression fractures throughout the lumbar veebra. The term fishmouth veebra / codfish veebra have been used to describe the biconcave appearance (given in the image in the question) of the veebrae that occur in Osteoporosis and sickle cell anemia patients.