A case of cerivco-thoracic anomaly simulating traumatic fracture-dislocation.
A patient who sustained severe head trauma had a simulated C7, T1 fracture dislocation. Anteroposterior tomography of the cervico-thoracic junction disclosed anomalous vertebral-costal articulations. The rotation of the spine and the abnormal posterior articulations were secondary to anterior costal bridging. Tomography of the costo-vertebral facets in patients with unusual rib configurations may help delineate cases of thoracic spine rotation.
D000293:Adolescent; D002574:Cervical Vertebrae / Q000002:abnormalities*; D003937:Diagnosis, Differential; D050723:Fractures, Bone / Q000000981:diagnostic imaging; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging; D008297:Male; D011859:Radiography; D012272:Ribs / Q000002:abnormalities*; D013124:Spinal Injuries / Q000000981:diagnostic imaging*; D013131:Spine / Q000000981:diagnostic imaging*; D013904:Thoracic Vertebrae / Q000002:abnormalities*; D014054:Tomography