Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Congenital Defect of the Posterior Arch of Cervical Spine : Report of Three Cases and Review of the Current Literature

  • Song, Kyo-Chang (Department of Neurosurgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Cho, Kyoung-Suok (Department of Neurosurgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Lee, Sang-Bok (Department of Neurosurgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine)
  • Received : 2010.04.28
  • Accepted : 2010.09.09
  • Published : 2010.09.28
Download PDF
⟨ Previous Next ⟩

Abstract

Abnormalities of the posterior arch, including congenitally absent cervical pedicle and cervical spondylolysis, are rare entities that are usually found incidentally on neck radiographs. It is important to recognize these characteristic radiological features because their radiographic appearance may cause them to be confused with more serious entities such as fractures, locked facets, and tumor-induced bony erosions. Also, it is important to distinguish these abnormalities from similar pathologies to prevent the use of inappropriate treatment We report the relevant clinical and radiological findings seen in three cases of posterior arch defect after trauma with review of pertinent literature.

Keywords

References

  1. Archer E, Batnitzky S, Franken EA, Muller J, Hale B : Congenital dysplasia of C2-6. Pediatr Radiol 6 : 121-122, 1977 https://doi.org/10.1007/BF00973536
  2. Bellamy R, Lieber A, Smith SD : Congenital spondylolisthesis of the sixth cervical vertebra. Case report and description of operative findings. J Bone Joint Surg Am 56 : 405-407, 1974
  3. Edwards MG, Wesolswski D, Benson MT, Wang AM : Computed tomography of congenital spondylolisthesis of the sixth cervical vertebra. Clin Imaging 15 : 191-195, 1991 https://doi.org/10.1016/0899-7071(91)90076-8
  4. Forsberg DA, Martinez S, Vogler JB III, Wiener MD : Cervical spondylolysis : imaging findings in 12 patients. AJR Am J Roentgenol 154 : 751-755, 1990. https://doi.org/10.2214/ajr.154.4.2107670
  5. Goupille P, Fouquet B, Cotty P, Valat JP : Cervical spondylolysis. AJR Am J Roentgenol 157 : 1127-1128, 1991 https://doi.org/10.2214/ajr.157.5.1781861
  6. Hadley LA : Congenital absence of pedicle from the cervical vertebra. AJR Am J Roentgenol 55 : 193-197, 1946
  7. Hanson EC, Shook JE, Wiesseman GJ, Wood VE : Congenital pedicle defects of the axis vertebra. Report of a case. Spine (Phila Pa 1976) 15 : 236-238, 1990 https://doi.org/10.1097/00007632-199003000-00018
  8. Legaye J, Horduna M : Cervical spondylolysis in a child : a case with hypermobility. Spine J 9 : e15-e19, 2009
  9. Mays S : Absent cervical spine pedicle : report of a case in a mediaeval skeleton. Skeletal Radiol 36 : 773-777, 2007 https://doi.org/10.1007/s00256-007-0276-8
  10. Moon SJ, Lee JK, Seo BR, Kim SH : Traumatic subluxation associated with absent cervical pedicle : case report and review of the literature. Spine (Phila Pa 1976) 33 : E663-E666, 2008 https://doi.org/10.1097/BRS.0b013e31817d2482
  11. Oh YM, Eun JP : Congenital absence of a cervical spine pedicle : report of two cases and review of the literature. J Korean Neurosurg Soc 44 : 389-391, 2008 https://doi.org/10.3340/jkns.2008.44.6.389
  12. Oh YM, Eun JP, Koh EJ, Choi HY : Posterior arch defects of the cervical spine : a comparison between absent pedicle syndrome and spondylolysis. Spine J 9 : e1-e5, 2009
  13. Perlman R, Hawes LE : Cervical spondylolisthesis. J Bone Joint Surg Am 33-A : 1012-1013, 1951
  14. Rodriguez-Romero R, Vargas-Serrano B, Carro-Mrtinez A : Congenital absence of the neural arch in the cervical spine : an extreme form of pedicle absence. Eur J Radiol 20 : 100-104, 1995 https://doi.org/10.1016/0720-048X(95)00638-7
  15. Schwartz AM, Wechsler RJ, Landy MD, Wetzner SM, Goldstein SA : Posterior arch defects of the cervical spine. Skeletal Radiol 8 : 135-139, 1982. https://doi.org/10.1007/BF00349580
  16. Schwartz JM. Case 36 : bilateral cervical spondylolysis of C6. Radiology 220 : 191-194, 2001
  17. Sheehan J, Kaptain G, Sheehan J, Jane J Sr : Congenital absence of a cervical pedicle : report of two cases and review of the literature. Neurosurgery 47 : 1439-1442, 2000 https://doi.org/10.1097/00006123-200012000-00036
  18. Tebbal MR, Ben Romdhane MH, Montagne JP, Ducou le Pointe H, Lipszyc H : [What is it? Congenital absence of the left pedicle of C7 vertebra]. J Radiol 79 : 1509-1512, 1998
  19. Wiener MD, Martinez S, Forsberg DA : Congenital absence of a cervical spine pedicle : clinical and radiologic findings. AJR Am J Roentgenol 155 : 1037-1041, 1990 https://doi.org/10.2214/ajr.155.5.2120932

Cited by

  1. Progressively Unstable C2 Spondylolysis Requiring Spinal Fusion: Case Report vol.54, pp.9, 2014, https://doi.org/10.2176/nmc.cr.2013-0223
  2. Management of Traumatic C6-7 Spondyloptosis with Cord Compression vol.55, pp.5, 2010, https://doi.org/10.3340/jkns.2014.55.5.289
  3. A novel case of “ambulatory” cervical spondyloptosis: case report with literature review vol.23, pp.suppl2, 2014, https://doi.org/10.1007/s00586-013-2827-0
  4. Atypical, unusual, and misleading imaging presentations of spondylolysis vol.44, pp.9, 2010, https://doi.org/10.1007/s00256-015-2138-0
  5. Misdiagnosing Absent Pedicle of Cervical Spine in the Acute Trauma Setting vol.7, pp.3, 2010, https://doi.org/10.4081/or.2015.5889
  6. Absent congenital cervical pedicle nearly misdiagnosed as a facet dislocation: A case report vol.9, pp.None, 2017, https://doi.org/10.1016/j.inat.2016.04.003
  7. Magnetic Resonance Myelography in Congenital Absence of the Cervical Pedicle vol.44, pp.3, 2017, https://doi.org/10.1017/cjn.2016.425