Scurvy: A case report of rare orthopaedic complications associated with multi-nutritional deficiencies

Abstract

Suboptimal nutrition can lead to deficiencies in micronutrients such as ascorbic acid (vitamin C), which can present with catastrophic neurological sequalae. Deficiencies of vitamin C, vitamin B3 (niacin) and zinc levels contribute to reduced bone density. Vitamin C associated vertebral fractures although rare in adults, are still treatable if diagnosed early with a thorough clinical and nutritional history and early supplementation. Radiological clues suggestive of scurvy induced vertebral fractures can be diagnosed on plain X-ray and MRI spine imaging.