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Title: | A very rare case of cervicothoracic vertebral synostosis spanning eight adjacent segments: congenital vs acquired |
Authors: | Altas, Hilal Bugdayci, Onur Cengic, Ismet Tureli, Derya Ordu Üniversitesi 0000-0002-6011-2720 |
Keywords: | Cervicothoracic vertebral synostosis; Klippel - Feil syndrome; Magnetic resonance imaging; Brucellosis; Growth ifferentiation factor 6 |
Issue Date: | 2018 |
Publisher: | MARMARA UNIV, FAC MEDICINE, HAYDARPASA, ISTAN, 34668, TURKEY |
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. |
URI: | http://doi.org/10.5472/marumj.398944 http://earsiv.odu.edu.tr:8080/xmlui/handle/11489/2292 |
Appears in Collections: | Dahili Tıp Bilimleri |
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