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A very rare case of cervicothoracic vertebral synostosis spanning eight adjacent segments: congenital vs acquired

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Cengi̇Ç et al. - 2018 - A very rare case of cervicothoracic vertebral syno.pdf (1.41 MB)

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2018-02-26

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MARMARA UNIV, FAC MEDICINE

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Abstract

An elderly female presented with acute post-traumatic neck pain. Cervical roentgenogram revealed a long-segment cervicothoracic vertebral fusion spanning 8 adjacent spinal levels. The patient was evaluated with computed tomography (CT) and magnetic resonance (MR) imagings of the spine, electromyography (EMG) and growth differentiation factor 6 (GDF6) gene mutation analysis. Imaging findings were atypical for congenital block vertebrae and there was no GDF6 mutation. A revision of very old medical records and patient's recollections revealed long-term stay in sanatorium for rehabilitation of chronic partially-treated brucella spondylodiscitis during adolescence. Block vertebrae spanning several levels have previously been reported; but, this is the first report of an acquired cervicothoracic fusion spanning 8 adjacent vertebral bodies.

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Cervicothoracic vertebral synostosis, Klippel - Feil syndrome, Magnetic resonance imaging, Brucellosis, Growth ifferentiation factor 6, KLIPPEL-FEIL-SYNDROME, CERVICAL-SPINE, ANOMALIES

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https://hdl.handle.net/11424/242277

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