Kümmell's disease is a complicated spinal condition which remains controversial in the pathophysiology,clinical presenta-tion,imaging and treatment options,which may be the comprehensive effect of multiple factors.The most important clinical feature of this disease is delayed vertebral collapse occurring after the history of minimal trauma.The intravertebral vacuum cleft phenomenon is consid-ered a radiographic sign of avascular osteonecrosis of the vertebral body and is highly suggestive of Kümmell's disease.Treatment options in-clude nonsurgical and surgical treatment.This article reviews the progress of Kümmell's disease to provide a reference for diagnosis and treatment.
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