Radiology Teaching Files > Case 42450

Contributed by: Chris S, Resident, Newark Beth Israel, New Jersey, USA.
Patient: 45 year old
History: Pt with chronic renal failure.

Fig. 1: Plain film of spine

Fig. 2: MR, proton density image
Findings: Increased density in the upper and lower zones of the vertebral body in a striated appearance.
Diagnosis: Rugger jersey spine in renal osteodystrophy.

The vertebral bodies have the classic "rugger jersey spine" with diffuse bands of osteosclerosis alternating with normal bone in the vertebral bodies. The striped appearance is termed "rugger jersey spine" due to its resemblance to the old striped rugby jerseys. This appearance may be seen in patients with renal osteodystrophy, or it may occur in the healing stage of osteitis fibrosa cystica. Although the rugger-jersey spine is relatively specific for hyperparathyroidism, a similar appearance may be seen in vertebrae in Pagets disease (picture frame vertebral body) and osteopetrosis (sandwich vertebral body).

No comments posted.
Additional Details:

Case Number: 42450Last Updated: 01-25-2003
Anatomy: Skeletal System   Pathology: Metabolic
Modality: Conventional Radiograph, MRExam Date: 01-25-2003Access Level: Readable by all users
Keywords: rugger jersey spine

The reader is fully responsible for confirming the accuracy of this content.
Text and images may be copyrighted by the case author or institution.
You can help keep MyPACS tidy: if you notice a case which is not useful (e.g. a test case) or inaccurate, please send email to