Differentiating between Traumatic Pathology and Congenital Variant: A Case Report of Butterfly Vertebra
| Autor: | Ioannis P. Stathopoulos, Lampros-Guiseppe Morassi, Spyros G. Pneumaticos, Orestis Karargyris, Sofia Chatziioannou, Kalliopi Lampropoulou-Adamidou |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
musculoskeletal diseases
Adult medicine.medical_specialty Pathology Congenital anomalies Pathologic fracture Case Report Lumbar vertebrae medicine Back pain Humans Orthopedics and Sports Medicine Sciatica Lumbar Vertebrae business.industry Emergency department Butterfly vertebra medicine.disease Low back pain Vertebra medicine.anatomical_structure Orthopedic surgery Vertebral anomalies Surgery Congenital malformation Accidental Falls Female medicine.symptom business Tomography X-Ray Computed Low Back Pain Congenital defect |
| Zdroj: | Clinics in Orthopedic Surgery |
| ISSN: | 2005-4408 2005-291X |
| Popis: | Butterfly vertebra is a rare congenital malformation of the spine, which is usually reported in the literature as an isolated finding. We describe a 40-year-old woman that presented to our emergency department with back pain and sciatica. Initial radiological evaluation revealed an incidental finding of a L4 butterfly vertebra in the anteroposterior and lateral view radiographs. The patient presented with no neurological deficit. This rare congenital anomaly is usually asymptomatic, and awareness of its non-traumatic nature is critical in order to establish a correct diagnosis. Further evaluation of the patient is necessary to exclude pathologic fracture, infection, or associated vertebral anomalies and syndromes, such as Alagille, Jarcho-Levin, Crouzon, and Pfeiffer syndromes. Furthermore, in the emergency setting, awareness of this entity is needed so that a correct diagnosis can be established. |
| Databáze: | OpenAIRE |
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