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논문 기본 정보

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학술저널
저자정보
N. V. Ankith M (Ganga Medical Centre & Hospital Pvt. Ltd. Coimbatore India) M. Avinash (Ganga Medical Centre & Hospital Pvt. Ltd. Coimbatore India) K. S. Srivijayanand (Ganga Medical Centre & Hospital Pvt. Ltd. Coimbatore India) Ajoy Prasad Shetty (Ganga Medical Centre & Hospital Pvt. Ltd. Coimbatore India) Rishi Mugesh Kanna (Department of Spine Surgery Ganga Hospital Coimbatore India) Shanmuganathan Rajasekaran (Orthopaedics and Spine Surgery Ganga Hospital Coimbatore India)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.13 No.4
발행연도
2019.1
수록면
535 - 543 (9page)

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Study Design: Observational retrospective computed tomography (CT) based study. Purpose: To analyze the congenital anomalies of the cervical spine, their morphological variations and their clinical significance. Overview of Literature: Studies published to date have focused mainly on upper cervical anomalies; no study has comprehensively reported on anomalies of both the occipitocervical and subaxial cervical spine. Methods: Nine hundred and thirty cervical spine CT scans performed in Ganga Hospital, Coimbatore, India between January 2014 and November 2017 were screened by two independent observers to document anomalies of both the upper and lower cervical spine. CT scans conducted for infection, tumor, and/or deformity were excluded. Different morphological variations, embryological basis, and clinical significance of the anomalies were discussed. Results: Of the 930 CT scans screened, 308 (33.1%) had congenital anomaly. Of these, 184 (59.7%) were males and 124 (40.2.7%) were females, with a mean age of 44.2 years (range, 14–78 years). A total of 377 anomalies were identified, with 69 cases (7.4%) having more than one anomaly. Two hundred and fifty (26.8%) anomalies of the upper cervical region (occiput to C2–C3 disk space) were identified, with the most common upper cervical anomalies being high-riding vertebral artery (108 cases, 11.6%) and ponticulus posticus (PP) (75 cases, 8%). One hundred and twenty seven (13.6%) anomalies of the lower cervical spine (C3–C7) were noted, of which double foramen transversarium was the most common anomaly observed in 46 cases (4.8%). Conclusions: We found that 33.1% of CT scans had at least one congenital anomaly. Some anomalies, such as abnormal facet complex and arch anomalies, have to be differentiated from fractures in a trauma patient. Other anomalies, like PP, have to be looked for during preoperative planning to avoid complications during surgery. Therefore, knowledge of these anomalies is important as different anomalies have different clinical courses and management.
#Congenital #Morphology #Anomaly #Developmental #Spine

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참고문헌 (30)

참고문헌 신청
Hosalkar HS / 2008 / Congenital osseous anomalies of the upper cervical spine / J Bone Joint Surg Am 90:337~348 google schola Pang D / 2011 / Embryology and bony malformations of the craniovertebral junction / Childs Nerv Syst 27:523~564 google schola Klimo P Jr / 2007 / Congenital anomalies of the cervical spine / Neurosurg Clin N Am 18:463~478 google schola Tambawala SS / 2017 / Prevalence of ponticulus posticus on lateral cephalometric radiographs, its association with cervicogenic headache and a review of literature / World Neurosurg 103:566~575 google schola Soni P / 2008 / Cervical vertebrae anomalies-incidental findings on lateral cephalograms / Angle Orthod 78:176~180 google schola

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