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Misdiagnosing Absent Pedicle of Cervical Spine in the Acute Trauma Setting

Congenital absence of cervical spine pedicle can be easily misdiagnosed as facet dislocation on plain radiographs especially in the acute trauma setting. Additional imaging, including computed tomography (CT)-scan with careful interpretation is required in order to not misdiagnose cervical posterior...

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Autores principales: Abduljabbar, Fahad H., Rossel, Felipe, Nooh, Anas, Jarzem, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4592929/
https://www.ncbi.nlm.nih.gov/pubmed/26605026
http://dx.doi.org/10.4081/or.2015.5889
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author Abduljabbar, Fahad H.
Rossel, Felipe
Nooh, Anas
Jarzem, Peter
author_facet Abduljabbar, Fahad H.
Rossel, Felipe
Nooh, Anas
Jarzem, Peter
author_sort Abduljabbar, Fahad H.
collection PubMed
description Congenital absence of cervical spine pedicle can be easily misdiagnosed as facet dislocation on plain radiographs especially in the acute trauma setting. Additional imaging, including computed tomography (CT)-scan with careful interpretation is required in order to not misdiagnose cervical posterior arch malformation with subsequent inappropriate management. A 39-year-old patient presented to the emergency unit of our university hospital after being trampled by a cow over her back and head followed by loss of consciousness, retrograde amnesia and neck pain. Her initial cervical CT-scan showed possible C5-C6 dislocation, then, it became clear that her problem was a misdiagnosed congenital cervical abnormality. Patient was treated symptomatically without consequences. The congenital absence of a cervical pedicle is a very unusual condition that is easily misdiagnosed. Diagnosis can be accurately confirmed with a CT-scan of the cervical spine. Symptomatic conservative treatment will result in resolution of the symptoms.
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spelling pubmed-45929292015-11-24 Misdiagnosing Absent Pedicle of Cervical Spine in the Acute Trauma Setting Abduljabbar, Fahad H. Rossel, Felipe Nooh, Anas Jarzem, Peter Orthop Rev (Pavia) Case Report Congenital absence of cervical spine pedicle can be easily misdiagnosed as facet dislocation on plain radiographs especially in the acute trauma setting. Additional imaging, including computed tomography (CT)-scan with careful interpretation is required in order to not misdiagnose cervical posterior arch malformation with subsequent inappropriate management. A 39-year-old patient presented to the emergency unit of our university hospital after being trampled by a cow over her back and head followed by loss of consciousness, retrograde amnesia and neck pain. Her initial cervical CT-scan showed possible C5-C6 dislocation, then, it became clear that her problem was a misdiagnosed congenital cervical abnormality. Patient was treated symptomatically without consequences. The congenital absence of a cervical pedicle is a very unusual condition that is easily misdiagnosed. Diagnosis can be accurately confirmed with a CT-scan of the cervical spine. Symptomatic conservative treatment will result in resolution of the symptoms. PAGEPress Publications, Pavia, Italy 2015-09-28 /pmc/articles/PMC4592929/ /pubmed/26605026 http://dx.doi.org/10.4081/or.2015.5889 Text en ©Copyright F.H. Abduljabbar et al. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Abduljabbar, Fahad H.
Rossel, Felipe
Nooh, Anas
Jarzem, Peter
Misdiagnosing Absent Pedicle of Cervical Spine in the Acute Trauma Setting
title Misdiagnosing Absent Pedicle of Cervical Spine in the Acute Trauma Setting
title_full Misdiagnosing Absent Pedicle of Cervical Spine in the Acute Trauma Setting
title_fullStr Misdiagnosing Absent Pedicle of Cervical Spine in the Acute Trauma Setting
title_full_unstemmed Misdiagnosing Absent Pedicle of Cervical Spine in the Acute Trauma Setting
title_short Misdiagnosing Absent Pedicle of Cervical Spine in the Acute Trauma Setting
title_sort misdiagnosing absent pedicle of cervical spine in the acute trauma setting
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4592929/
https://www.ncbi.nlm.nih.gov/pubmed/26605026
http://dx.doi.org/10.4081/or.2015.5889
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