Radio-MR-pathologic correlations of spine specimens provide the unique oppo
rtunity to separately assess alterations of the osseous network and of the
medullary content of vertebral bodies. This article highlights normal varia
nts in marrow appearance at MR imaging and features common lesions includin
g vertebral hemangioma, benign and malignant vertebral fractures, metastase
s, Schmorl's nodes and changes secondary to disk disorders.