| Article Access Statistics | | | Viewed | 3154 | | | Printed | 73 | | | Emailed | 0 | | | PDF Downloaded | 49 | | | Comments | [Add] | | | Cited by others | 11 | | |
|
Click on image for details.
|
|
 |
| NEUROIMAGE |
|
|
|
| Year : 2016 | Volume
: 64
| Issue : 1 | Page : 189-190 |
Congenital absence of a cervical spine pedicle
Paolo Perrini, Nicola Montemurro
Department of Neurosurgery, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy
| Date of Web Publication | 11-Jan-2016 |
Correspondence Address:
Paolo Perrini
Department of Neurosurgery, Azienda Ospedaliero Universitaria Pisana, Via Paradisa, 2-56124, Pisa
Italy
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0028-3886.173669
How to cite this article:
Perrini P, Montemurro N. Congenital absence of a cervical spine pedicle. Neurol India 2016;64:189-90 |
A 15-year-old boy presented with neck pain after a motor vehicle collision. His neurological examination was unremarkable. The patient had no history of cervical pain prior to the accident. Computed tomography (CT) scan of the cervical spine revealed an enlarged neural foramen extending from C6 to C7 on the right side, suggesting an apparent unilateral C6 jumped locked facet [Figure 1]a. Careful evaluation of the CT scan demonstrated a congenital anomaly characterized by dorsal displacement of the ipsilateral articular pillar [Figure 1]a, arrow] and absence of the right C6 pedicle [Figure 1]b, asterisk], with normal cervical sagittal alignment [Figure 1]c. Three-dimensional CT reconstruction images [Figure 1]d clearly showed the absence of the pedicle, with the false appearance of an enlarged ipsilateral neural foramen and a pseudo-facet dislocation. Accordingly, the patient was managed conservatively, and his symptoms progressively resolved. Absence of a cervical pedicle is a rare developmental anomaly that most commonly affects the C6 level.[1],[2],[3] This anomaly can be associated with other bony abnormalities, including spina bifida occulta, absence of ipsilateral neural arch and facet joint as well as laminar fusion.[2],[3] The diagnosis relies on the detection of false appearance of an enlarged neural foramen due to the absent pedicle and a dysplastic dorsally located ipsilateral articular pillar, as our case illustrates. Physicians should be aware of this benign congenital malformation to avoid inappropriate management. | Figure 1: Computed tomography (CT) scan (a-c) and three-dimensional CT reconstruction images (d) of the cervical spine. CT scan revealed dorsal displacement of the right C6 articular pillar (a, arrow) and absence of the ipsilateral C6 pedicle (b, asterisk). Cervical sagittal alignment was maintained (c)
Click here to view |
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| » References | |  |
| 1. | Dimitrov DF, Bronec PR, Friedman AH. Congenitally absent C-7 pedicle presenting as a jumped locked facet. Case illustration. J Neurosurg 2003;99(Suppl 2):239.
Fowler JR, Moyer RA. Case report: Absent C6 cervical pedicle in a collegiate football player. Clin Orthop Relat Res 2010;468:1693-6.
Taguchi Y, Matsuzawa M, Ye JM, Uzura M, Watanabe H, Hayakawa M. Posttraumatic cervical epidural hematoma associated with congenital absence of a cervical spine pedicle: Case report and literature review. J Trauma 2001;51:579-82.  |
[Figure 1]
| This article has been cited by | | 1 |
Virtual Reality in Neurosurgery: Beyond Neurosurgical Planning |
|
| Rakesh Mishra, M.D. Krishna Narayanan, Giuseppe E. Umana, Nicola Montemurro, Bipin Chaurasia, Harsh Deora | | International Journal of Environmental Research and Public Health. 2022; 19(3): 1719 | | [Pubmed] | [DOI] | | | 2 |
Spontaneous Osseous Fusion after Remodeling Therapy for Chronic Atlantoaxial Rotatory Fixation and Recovery Mechanism of Rotatory Range of Motion of the Cervical Spine |
|
| Kazuya Kitamura, Ken Ishii, Narihito Nagoshi, Kazuhiro Chiba, Morio Matsumoto, Masaya Nakamura, Kota Watanabe | | Journal of Clinical Medicine. 2022; 11(6): 1504 | | [Pubmed] | [DOI] | | | 3 |
The Potential Role of Dysregulated miRNAs in Adolescent Idiopathic Scoliosis and 22q11.2 Deletion Syndrome |
|
| Nicola Montemurro, Luca Ricciardi, Alba Scerrati, Giorgio Ippolito, Giorgio Lofrese, Sokol Trungu, Andrea Stoccoro | | Journal of Personalized Medicine. 2022; 12(11): 1925 | | [Pubmed] | [DOI] | | | 4 |
Resolution of Papilledema Following Ventriculoperitoneal Shunt or Endoscopic Third Ventriculostomy for Obstructive Hydrocephalus: A Pilot Study |
|
| Sukriti Das, Nicola Montemurro, Musannah Ashfaq, Dipankar Ghosh, Asit Chandra Sarker, Akhlaque Hossain Khan, Sharbari Dey, Bipin Chaurasia | | Medicina. 2022; 58(2): 281 | | [Pubmed] | [DOI] | | | 5 |
Anatomical Variations of the Median Nerve: A Cadaveric Study |
|
| Manuel Encarnacion, Renat Nurmukhametov, Rossi Evelyn Barrientos, Dmitry Melchenko, Evgeniy Goncharov, Edwin Bernard, Jose Mogorron Huerta, Jean Francois Uhl, Ibrahim E. Efe, Nicola Montemurro, Issael Ramirez | | Neurology International. 2022; 14(3): 664 | | [Pubmed] | [DOI] | | | 6 |
Surgical Approach for Spinal Tumors: Our Experience in Combined Military Hospital Dhaka |
|
| Md Aminul Islam, Maj Shamantha Afreen, Nicola Montemurro, Bipin Chaurasia | | Surgeries. 2021; 2(3): 303 | | [Pubmed] | [DOI] | | | 7 |
Estimating Cervical Vertebral Maturation with a Lateral Cephalogram Using the Convolutional Neural Network |
|
| Eun-Gyeong Kim, Il-Seok Oh, Jeong-Eun So, Junhyeok Kang, Van Nhat Thang Le, Min-Kyung Tak, Dae-Woo Lee | | Journal of Clinical Medicine. 2021; 10(22): 5400 | | [Pubmed] | [DOI] | | | 8 |
Comparison of Extragraft Bone Formation after Anterior Cervical Discectomy and Fusion Using Simultaneous and Sequential Algorithms |
|
| Yong Jun Jin, Won Man Park | | Applied Sciences. 2021; 11(4): 1487 | | [Pubmed] | [DOI] | | | 9 |
Cervical Vertebral Maturation Method: Reproducibility and Efficiency of Chronological Age Estimation |
|
| Lydia Schoretsaniti, Anastasia Mitsea, Kety Karayianni, Iosif Sifakakis | | Applied Sciences. 2021; 11(7): 3160 | | [Pubmed] | [DOI] | | | 10 |
Clinical Risk and Overall Survival in Patients with Diabetes Mellitus, Hyperglycemia and Glioblastoma Multiforme. A Review of the Current Literature |
|
| Nicola Montemurro, Paolo Perrini, Biagio Rapone | | International Journal of Environmental Research and Public Health. 2020; 17(22): 8501 | | [Pubmed] | [DOI] | | | 11 |
The Y-shaped trabecular bone structure in the odontoid process of the axis: a CT scan study in 54 healthy subjects and biomechanical considerations |
|
| Nicola Montemurro, Paolo Perrini, Vittoriano Mangini, Massimo Galli, Andrea Papini | | Journal of Neurosurgery: Spine. 2019; 30(5): 585 | | [Pubmed] | [DOI] | |
|
|
|
|
|
|
|
|
