False negative bone scan finding of vertebral metastatic compression fracture: A case report

Choi, Hey Ran; Kim, Tae Hun; Kim, Hyun Sook; Nahm, Francis Sahngun; Lee, Pyung Bok

Case Report

Spinal Pain

Anesthesia and Pain Medicine 2010;5(4):280-283.
Published online October 31, 2010.

False negative bone scan finding of vertebral metastatic compression fracture: A case report

Hey Ran Choi, Tae Hun Kim, Hyun Sook Kim, Francis Sahngun Nahm, Pyung Bok Lee

¹Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. painfree@snubh.org
²Department of Anesthesiology and Pain Medicine, Hanil Hospital, Seoul, Korea.
³Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.

Abstract

Bone scan using (99m)Tc-MDP is the most accurate and reliable method for the early detection of fracture, and that is the screening procedure of choice for the demonstration of bone metastases. It is well known that it has superior sensitivity to radiography for this purpose. We report the case of 41 years old man with known primary tumor and metastatic vertebral fracture presenting false negative bone scan finding.

Key Words: (99m)Tc-MDP, False negative reactions, Spinal fracture