Leveron&Nexovas
Neurology India
menu-bar5 Open access journal indexed with Index Medicus
  Users online: 7261  
 Home | Login 
About Editorial board Articlesmenu-bullet NSI Publicationsmenu-bullet Search Instructions Online Submission Subscribe Videos Etcetera Contact
  Navigate Here 
 Search
 
  
 Resource Links
  »  Similar in PUBMED
 »  Search Pubmed for
 »  Search in Google Scholar for
  »  Article in PDF (679 KB)
  »  Citation Manager
  »  Access Statistics
  »  Reader Comments
  »  Email Alert *
  »  Add to My List *
* Registration required (free)  

 
  In this Article
 »  References
 »  Article Figures

 Article Access Statistics
    Viewed3154    
    Printed73    
    Emailed0    
    PDF Downloaded49    
    Comments [Add]    
    Cited by others 11    

Recommend this journal

 


 
Table of Contents    
NEUROIMAGE
Year : 2016  |  Volume : 64  |  Issue : 1  |  Page : 189-190

Congenital absence of a cervical spine pedicle


Department of Neurosurgery, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy

Date of Web Publication11-Jan-2016

Correspondence Address:
Paolo Perrini
Department of Neurosurgery, Azienda Ospedaliero Universitaria Pisana, Via Paradisa, 2-56124, Pisa
Italy
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.173669

Rights and Permissions



How to cite this article:
Perrini P, Montemurro N. Congenital absence of a cervical spine pedicle. Neurol India 2016;64:189-90

How to cite this URL:
Perrini P, Montemurro N. Congenital absence of a cervical spine pedicle. Neurol India [serial online] 2016 [cited 2023 Feb 6];64:189-90. Available from: https://www.neurologyindia.com/text.asp?2016/64/1/189/173669


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 Top

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.  Back to cited text no. 1
    


    Figures

  [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]



 

Top
Print this article  Email this article
   
Online since 20th March '04
Published by Wolters Kluwer - Medknow