Jeyapalan K, Chavda S V
Department of Diagnostic Radiology, Midland Centre for Neurosurgery and Neurology, Smethwick, Warley, WestMidlands, UK.
Skeletal Radiol. 1994 Oct;23(7):580-2. doi: 10.1007/BF00223098.
A case of congenital bilateral spondylolysis of fourth cervical vertebra was reported and the characteristic radiological features shown. Although the diagnosis is often suggested by the plain films, demonstration of the typical CT findings is often necessary to reach a final diagnosis. Awareness of this entity and its specific radiological features will help to differentiate this relatively benign cervical anomaly from other, more ominous, unstable causes of cervical spondylolisthesis such as those related to acute cervical injury. It may also prevent any inappropriate treatment from being undertaken.
报告了一例先天性双侧第四颈椎椎弓根峡部裂病例，并展示了其特征性的放射学表现。尽管平片常可提示诊断，但通常需要显示典型的CT表现才能做出最终诊断。认识到这一实体及其特定的放射学特征，将有助于将这种相对良性的颈椎异常与其他更凶险、不稳定的颈椎滑脱病因（如与急性颈部损伤相关的病因）区分开来。这也可能避免采取任何不恰当的治疗措施。
