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Servikal vertebra posteriorunda falanks benzeri ektopik kemik yapı: Nadir bir anomali için bildirilmemiş bir yerleşim bölgesi

Year 2005, Volume: 39 Issue: 4, 361 - 364, 11.09.2006

Hakan Atalar Osman Yavuz Halil Dogruel Sema Çatal Ugur Sayli

Abstract

Birçok tipte vertebral kolon anomalisi bildirilmiştir. Pelvik kosta ve pelvik parmak, nadir görülen spinal anomalilerdir. Elli sekiz yaşındaki erkek hasta ensesinde sert kitle şikayetiyle başvurdu. Travma öyküsü yoktu ve hasta uzun yıllar kitlenin farkında idi. Fizik muayenede, ensede 4x1 cm boyutlarında, ağrısız ve harekesiz kitle saptandı. Boyun hareketleri tüm yönlerde yaklaşık 10-15 derece kısıtlı ve hafif ağrılı idi. Servikal bölgenin direkt grafisinde C6 vertebra spinöz çıkıntısı posteriorunda, koksiks segmentini veya falanksı andıran iki adet kemik oluşum görüldu. Kemik oluşumlarda iyi şekillenmiş korteks ve medulla; ayrıca, spinöz çıkıntı ile ve kendi aralarında psödoartikülasyon vardı. Bu bulgular üçboyutlu bilgisayarlı tomografi ve manyetik rezonans görüntüleme ile de doğrulandı. Ameliyat önerilen hasta, fazla şikayeti olmadığı için cerrahi müdahaleyi kabul etmedi. Bilgilerimize göre, bu anomali servikal bölgede daha önce bildirilmemiştir.

Keywords

abnormalities/radiography;cervical vertebrae/abnormalities/radiography;spinal cord/pathology

Phalanx-like osseous structure posterior to the cervical vertebrae: a hitherto unreported location for a rare anomaly

Year 2005, Volume: 39 Issue: 4, 361 - 364, 11.09.2006

Hakan Atalar Osman Yavuz Halil Dogruel Sema Çatal Ugur Sayli

Abstract

Several types of abnormalities of the vertebral column have been reported. Pelvic rib or pelvic digit is a rare congenital anomaly of the spine. A 58-year-old male patient presented with a complaint of a firm mass in the neck. He had no history of trauma and had been aware of the mass for years. Physical examination showed a painless and immobile mass in the neck, measuring 4x1 cm. About 10 to 15 degrees of restriction was noted in neck movements, with slight pain. A plain radiograph of the cervical region showed two bony formations resembling a coccygeal segment or a phalanx, posterior to the spinous process of the C6 vertebra. They had well-defined cortices and medullae and pseudo-articulation between each other and with the spinous process. These findings were confirmed by three-dimensional computed tomography and magnetic resonance images. The patient did not accept surgery for the lesions were not associated with a significant discomfort. To our knowledge, such a digit has hitherto not been reported in the cervical region.

Keywords

Abnormalities/radiography cervical vertebrae/abnormalities/radiography spinal cord/pathology

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Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Report
Authors

Hakan Atalar This is me

Osman Yavuz This is me

Halil Dogruel This is me

Sema Çatal This is me

Ugur Sayli This is me

Publication Date September 11, 2006
Published in Issue Year 2005 Volume: 39 Issue: 4

Cite

APA Atalar, H., Yavuz, O., Dogruel, H., Çatal, S., et al. (2006). Phalanx-like osseous structure posterior to the cervical vertebrae: a hitherto unreported location for a rare anomaly. Acta Orthopaedica Et Traumatologica Turcica, 39(4), 361-364.
AMA Atalar H, Yavuz O, Dogruel H, Çatal S, Sayli U. Phalanx-like osseous structure posterior to the cervical vertebrae: a hitherto unreported location for a rare anomaly. Acta Orthopaedica et Traumatologica Turcica. September 2006;39(4):361-364.
Chicago Atalar, Hakan, Osman Yavuz, Halil Dogruel, Sema Çatal, and Ugur Sayli. “Phalanx-Like Osseous Structure Posterior to the Cervical Vertebrae: A Hitherto Unreported Location for a Rare Anomaly”. Acta Orthopaedica Et Traumatologica Turcica 39, no. 4 (September 2006): 361-64.
EndNote Atalar H, Yavuz O, Dogruel H, Çatal S, Sayli U (September 1, 2006) Phalanx-like osseous structure posterior to the cervical vertebrae: a hitherto unreported location for a rare anomaly. Acta Orthopaedica et Traumatologica Turcica 39 4 361–364.
IEEE H. Atalar, O. Yavuz, H. Dogruel, S. Çatal, and U. Sayli, “Phalanx-like osseous structure posterior to the cervical vertebrae: a hitherto unreported location for a rare anomaly”, Acta Orthopaedica et Traumatologica Turcica, vol. 39, no. 4, pp. 361–364, 2006.
ISNAD Atalar, Hakan et al. “Phalanx-Like Osseous Structure Posterior to the Cervical Vertebrae: A Hitherto Unreported Location for a Rare Anomaly”. Acta Orthopaedica et Traumatologica Turcica 39/4 (September 2006), 361-364.
JAMA Atalar H, Yavuz O, Dogruel H, Çatal S, Sayli U. Phalanx-like osseous structure posterior to the cervical vertebrae: a hitherto unreported location for a rare anomaly. Acta Orthopaedica et Traumatologica Turcica. 2006;39:361–364.
MLA Atalar, Hakan et al. “Phalanx-Like Osseous Structure Posterior to the Cervical Vertebrae: A Hitherto Unreported Location for a Rare Anomaly”. Acta Orthopaedica Et Traumatologica Turcica, vol. 39, no. 4, 2006, pp. 361-4.
Vancouver Atalar H, Yavuz O, Dogruel H, Çatal S, Sayli U. Phalanx-like osseous structure posterior to the cervical vertebrae: a hitherto unreported location for a rare anomaly. Acta Orthopaedica et Traumatologica Turcica. 2006;39(4):361-4.