Combined anomalies of axial skeleton
https://doi.org/10.21886/2219-8075-2019-10-2-59-65
Abstract
Detection of the combined anomalies of the axial skeleton, including anomalies of the craniovertebral junction, cervical spine and ribs, is rare, and the differential diagnosis of such anomalies is a difficult task. Clinical cases of combined congenital malformations of the craniovertebral junction, cervical spine and ribs are described. Two clinical cases confirm the appearance of the first complaints and neurological syndromes in patients with combined anomalies of the axial skeleton at the age of 20-40 years after minor traumatic injuries. In the third case, there is no correspondence between the severity of radiological changes and clinical manifestations, when radiological findings were regarded as accidental.
About the Authors
O. A. KaplunovaRussian Federation
Olga A. Kaplunova - MD, PhD, Professor.
Rostov-on-Don
Competing Interests: No conflicts of interest
E. V. Chaplygina
Russian Federation
Elena V. Chaplygina - MD, PhD, Professor.
Rostov-on-Don
Competing Interests: No conflicts of interest
O. P. Suhanova
Russian Federation
Olga P. Suhanova - MD, assistant.
Rostov-on-Don
Competing Interests: No conflicts of interest
N. A. Fomina-Chertousova
Russian Federation
Neonila A. Fomina-Chertousova - MD, PhD, assistant
Rostov-on-Don
Competing Interests: No conflicts of interest
I. M. Blinov
Russian Federation
Igor M. Blinov – MD.
Rostov-on-DonCompeting Interests: No conflicts of interest
B. M. Kalashaov
Russian Federation
BaizetM. Kalashaov – MD.
Rostov-on-Don
Competing Interests: No conflicts of interest
References
1. Smirnov VV, Eliseev NP Luchevaya diagnostika anomalij i porokov razvitiya shejnogo otdela pozvonochnika. Manual’naya terapiya. 2008;4(32):66-77 (in Russ.).
2. Gubin A.V., Ulrich E.V. Unstable cervical spine abnormalities in children. Hirurgiya pozvonochnika. 2008;3:16-19 (in Russian).
3. Gubin AV, Ulrikh EV. Syndrome Approach to the Treatment of Children with Cervical Spine Abnormalities. Hirurgiya pozvonochnika. 2010;3:14-19 (in Russian).
4. Zabbarova АТ. Clinical importance of bone craniovertebral anomalies. Neurological bulletin. 2012;2:66-72 (in Russian).
5. Ulrikh EV, Gubin AV. Operative treatment of instability of the cervical part of the spine in a child with Klippel-Feil. Vestnik khirurgii. 2008;2:90-92 (in Russian).
6. Kusumi K, Turnpenny PD. Formation errors of the vertebral column. J. Bone Joint Surg. 2007;89-A(1):64-71. doi:10.2106/JBJS.F.00486
7. Grigorova IA, Salo VI, Teslenko OA, Tikhonova LV. Rare neurology. A case of Klippel-Feil craniovertebral anomaly with pronounced hydrocephalia and atrophy of brain substance. International medical journal. 2009;4:14-18. (in Russian)
8. Goel A, Nadkarni T, Shah A, Ramdasi R, Patni N. Bifid Anterior and Posterior Arches of Atlas: Surgical Implication and Analysis of 70 Cases. Neurosurgery. 2015;77(2):296-305. DOI: 10.1227/NEU.0000000000000761
9. Talukdar R, Yalawar RS, Kumar M. Imaging in Craniovertebral Junction (CVJ) Abnormalities. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). 2015;14(12):33-49. DOI: 10.9790/0853-141223349 www.iosrjournals.org33
10. Mourad F, Giovannico G, Maselli F, Bonetti F, Fernandez De Las Penas C, Dunning JD. Basilar impression presenting as intermittent mechanical neck pain: A rare case report Rehabilitation, physical therapy and occupational health. BMC Musculoskeletal Disorders. 2016;17(1). DOI: 10.1186/s12891-015-0847-0
11. Zong R, Yin Y, Qiao G, Jin Y, Yu X. Quantitative Measurements of the Skull Base and Craniovertebral Junction in Congenital Occipitalization of the Atlas: A Computed Tomography-Based Anatomic Study. World Neurosurgery. 2017;99(1):96-103. DOI: 10.1016/j.wneu.2016.11.062
12. Shetty AS, Jetti R, Sirasanagandla SR, Nelluri V A case report of atlanto-occipital assimilation. Bangladesh Journal of Medical Science. 2018;17(1) 169-171. DOI: 10.3329/bjms.v17i1.35301
13. Chaplygina YeV, Kaplunova OA, Dombrovskiy VI, Sukhanova OP, Blinov IM, et al. Morpho-functional characteristics of Kimmerle Anomaly. Morphology. 2015;147(3):27-31 (in Russian)
14. Ganesh D, Sagayaraj BM, Barua RK, Sharma N, Ranga U. Arnold chiari malformation with spina bifida: A lost opportunity of folic acid supplementation. Journal of Clinical and Diagnostic Research. 2014;8(12):OD01-OD03. DOI: 10.7860/JCDR/2014/11242.5335
15. Salunke P, Karthigeyan M, Sunil N, Rangan V. ' Congenital anomalies of craniovertebral junction presenting after 50 years of age’: An oxymoron or An unusual variation? Clinical Neurology and Neurosurgery. 2018;165:15-20. DOI:10.1016/j.clineuro.2017.12.015
Review
For citations:
Kaplunova O.A., Chaplygina E.V., Suhanova O.P., Fomina-Chertousova N.A., Blinov I.M., Kalashaov B.M. Combined anomalies of axial skeleton. Medical Herald of the South of Russia. 2019;10(2):59-65. (In Russ.) https://doi.org/10.21886/2219-8075-2019-10-2-59-65