{Reference Type}: Journal Article {Title}: Vertebra Plana: A Narrative Clinical and Imaging Overview among Possible Differential Diagnoses. {Author}: Angelini A;Mosele N;Gnassi A;Baracco R;Rodà MG;Cerchiaro M;Ruggieri P; {Journal}: Diagnostics (Basel) {Volume}: 13 {Issue}: 8 {Year}: 2023 Apr 17 {Factor}: 3.992 {DOI}: 10.3390/diagnostics13081438 {Abstract}: Vertebra plana is a rare radiologic condition characterized by a uniform loss of height of a vertebral body that represents a diagnostic challenge for surgeons. The purpose of this study was to review all possible differential diagnoses that may present with a vertebra plana (VP) described in the current literature. For that purpose, we performed a narrative literature review in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, analyzing 602 articles. Patient demographics, clinical presentation, imaging characteristics and diagnoses were investigated. VP is not a pathognomonic feature of Langerhans cell histiocytosis, but other oncologic and non-oncologic conditions should be considered. The list of differential diagnoses, based on our literature review, can be recalled with the mnemonic HEIGHT OF HOMO: H-Histiocytosis; E-Ewing's sarcoma; I-Infection; G-Giant cell tumor; H-Hematologic neoplasms; T-Tuberculosis; O-Osteogenesis imperfecta; F-Fracture; H-Hemangioma; O-Osteoblastoma; M-Metastasis; O-Osteomyelitis, chronic.