Kale Priya, Dhawas A, Kale S, Tayade A, Thakre S
Assistant Professor, Department of Radiodiagnosis, MGIMS , Sewagram, Wardha, MS, India .
Resident, Department of Radiodiagnosis, MGIMS , Sewagram, Wardha, MS, India .
J Clin Diagn Res. 2015 Jan;9(1):TD03-4. doi: 10.7860/JCDR/2015/11275.5431. Epub 2015 Jan 1.
Congenital thoracic kyphosis at D6-D7 vertebral body level has been encountered in an 18-month-old boy without neurological deficit. The constellation of the spine malformation complex such as incomplete development of the vertebral bodies associated with defective ossification of the thoracic pedicles causing effectively the development of spinal cord injury at the kyphotic level of D6-D7 were present. Congenital kyphosis in thoracic spine secondary to absence of two thoracic vertebral bodies has been reported in a few studies. It is the absence and asymmetry of growth plates that may contribute to a congenital defect. Congenital Kyphosis refers to the normal convex curvature of the spine as it occurs in the thoracic and sacral regions since birth. Congenital kyphosis is an uncommon, but potentially devastating anomaly of the spine. It is one of the important aetiology for spinal cord compression leading to further neurological complications. Congenital kyphosis although rare, is more associated with neurological complication. Early identification not only helps in understanding its natural history but also helps in deciding its management.
一名18个月大的男孩被诊断出在D6 - D7椎体水平患有先天性胸椎后凸,且无神经功能缺损。脊柱畸形综合征的表现包括椎体发育不全,同时伴有胸椎椎弓根骨化缺陷,这实际上导致了在D6 - D7后凸水平出现脊髓损伤。一些研究报告了因两个胸椎椎体缺失继发的胸椎先天性后凸。生长板的缺失和不对称可能导致先天性缺陷。先天性后凸是指自出生起脊柱在胸椎和骶骨区域出现的正常凸形弯曲。先天性后凸是一种罕见但可能具有毁灭性的脊柱异常。它是导致脊髓受压进而引发进一步神经并发症的重要病因之一。先天性后凸虽然罕见,但更易伴有神经并发症。早期识别不仅有助于了解其自然病史,还有助于决定其治疗方案。