Metastatic spinal cord compression

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QUESTION 1 OF 2

80. Which of the following regarding spinal metastases is correct?

QUESTION ID: 3217

1. Most of spinal metastases occurs in posterior elements.
2. Spinal cord compression is a component of SINS (Spinal Instability Neoplasticism Score)
3. Thoracic spine is the most common site followed by lumbar and cervical.
4. Thyroid is the most common primary followed by prostate.
5. Vertebroplasty can be done even in presence of a posterior spinal wall defect.
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QUESTION 2 OF 2

81.A 50-year-old Caucasian man presents with severe and constant back (mid lumbar) spine pain. There is no radiation to legs, he denies change in bladder and bowel habits. It wakes him at night, and he has night sweats. MRI shows significant abnormality of disc space at L3/L4 level with invasion of the destruction into the adjacent vertebral bodies.
What would be the most likely diagnosis?

QUESTION ID: 3218

1. Metastases
2. Multiple myeloma
3. Osteoporotic fracture
4. Spinal tuberculosis (Potts disease)
5. Staph aureus discitis
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