Song Kyo-Chang, Cho Kyoung-Suok, Lee Sang-Bok
Department of Neurosurgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine, Uijeongbu, Korea.
J Korean Neurosurg Soc. 2010 Sep;48(3):294-7. doi: 10.3340/jkns.2010.48.3.294. Epub 2010 Sep 30.
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.
后弓异常,包括先天性颈椎椎弓根缺如和颈椎峡部裂,是罕见的情况,通常在颈部X线片检查时偶然发现。认识到这些特征性的放射学表现很重要,因为它们的影像学表现可能会使其与更严重的情况如骨折、小关节交锁和肿瘤性骨质侵蚀相混淆。此外,将这些异常与相似的病理情况区分开来以避免不恰当治疗的应用也很重要。我们报告了3例创伤后后弓缺损的相关临床和放射学表现,并复习了相关文献。