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April 1958, Vol 76, No. 4 >
ARTICLE | April 1958

The Lumbothoracic Spine in Multiple Myeloma

WILLIAM S. SMITH, M.D.; THOMAS J. KLUG, M.D.
AMA Arch Surg. 1958;76(4):639-643. doi:10.1001/archsurg.1958.01280220159032.
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Despite the high incidence of backache in patients with multiple myeloma, little has been written about the specific changes in the vertebral column in this disease. It is our purpose to call attention to the roentgenographic findings in the spines of 58 patients with proved multiple myeloma seen at the Ohio State University Health Center in the past five years. Fifty per cent of this group entered the hospital with a complaint of back pain. Batts1 and Ghormley3 have also called attention to the high incidence of backache in multiple myeloma. While multiple punctate skeletal lesions have long been the roentgenographic hallmark of this disease, advances in the diagnosis of multiple myeloma have made it possible to recognize the disease in the absence of the classical findings. Indeed, in some cases roentgen examination of the spine may appear to be normal or may show only a mild degree

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