Garg Monika, Kumar Sanyal, Satija Bhawna, Gupta Rajat
Department of Radiodiagnosis, Employee's State Insurance Hospital and Post Graduate Institute of Medical Science and Research, Basaidarapur, New Delhi, India.
J Craniovertebr Junction Spine. 2012 Jan;3(1):23-5. doi: 10.4103/0974-8237.110123.
Intervertebral disc calcification (IVDC), though rare, remains an important differential of pediatric spinal pain. A 7-year-old boy presented with sudden-onset severe neck pain and restricted movements. There was no definite history of trauma or infection. Imaging of the cervical spine showed calcification of the intervertebral disc at C2-3 level, with significant posterior protrusion into the spinal canal causing compression of the cervical spinal cord. The child was kept on conservative management. The calcification and posterior protrusion showed near-complete resolution on 3-month follow-up. This case report emphasizes that childhood IVDC is a benign condition which commonly resolves spontaneously, without any surgical intervention and neurological sequelae.
椎间盘钙化(IVDC)虽然罕见,但仍是小儿脊柱疼痛的重要鉴别诊断之一。一名7岁男孩突发严重颈部疼痛且活动受限。无明确的外伤或感染史。颈椎影像学检查显示C2 - 3水平椎间盘钙化,并有明显的向后突出至椎管内,导致颈髓受压。该患儿接受了保守治疗。3个月随访时,钙化及向后突出几乎完全消退。本病例报告强调儿童IVDC是一种良性疾病,通常可自发缓解,无需任何手术干预,也不会遗留神经后遗症。