Journals / Turkish Neurosurgery / 2011 / Cilt: 21 - Sayı: 2

İki ayrı faset eklemin aynı tarafta bulunması: Konjenital anomalili bir vaka

Existence of two separate facet joints on the same Side: Case of a congenital anomaly

Pages
239–241
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This is a unique case of the congenital existence of two separate facet joints on the same side of the first sacral vertebra.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:We present a case that had two separate facet joints on the same side causing an intervertebral instability.
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Key Findings & Data:The embryological pathogenesis of the congenital existence of two separate facet joints on the same side of the vertebra is not conclusively known.
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Conclusion & Impact:This is a unique case of the congenital existence of two separate facet joints on the same side of the first sacral vertebra.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

We present a case that had two separate facet joints on the same side causing an intervertebral instability. The embryological pathogenesis of the congenital existence of two separate facet joints on the same side of the vertebra is not conclusively known. A 68-year-old woman presented with lower back pain and severe left leg pain. Neuroradiological evaluation including dynamic plain radiography, computed tomography, and magnetic resonance imaging of the lumbar spine revealed the existence of two separate facet joints on the same side of the first sacral vertebra, severe degenerative changes of both right and left L5-S1 facet joints, and Grade II L5-S1 spondylolisthesis. Subsequently, she underwent surgery. Intraoperatively, two separate facet joints on the same side of the first sacral vertebra were confirmed. The patient's symptoms were resolved after decompression and fusion surgery. This is a unique case of the congenital existence of two separate facet joints on the same side of the first sacral vertebra.

Özet

İki ayrı faset eklemin aynı tarafta bulunması nedeniyle vertebral instabilite gelişen bir vaka sunulmuştur. Konjenital olarak vertebranın aynı tarafında iki ayrı faset eklemin bulunmasının embriyolojik patogenezi tam olarak bilinmemektedir. 68 yaşında kadın bel ağrısı ve şiddetli sol bacak ağrısı ile başvurmuştur. Nöroradyolojik incelemelerinde, lumbosakral vertebranın dinamik düz grafileri, bilgisayarlı tomografi görüntüleri ve manyetik rezonans görüntüleri incelenmiş olup birinci sakral vertebranın aynı tarafında iki ayrı faset eklemin bulunduğu, L5-S1 bilateral faset eklemlerinde şiddetli dejeneratif değişikliklerin bulunduğu ve Grade II L5-S1 spondilolistezis saptanmıştır. Takiben hasta opere edilmiştir. Operasyonda birinci sakral vertebranın aynı tarafında iki ayrı faset eklemin bulunduğu görülmüştür. Hastanın semptomları dekompresyon ve füzyon ameliyatı sonrasında düzelmiştir. Vakamız birinci sakral vertebranın aynı tarafında iki ayrı faset eklemin bulunduğu bildirilmiş olan tek vakadır.

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Cite This Article

KUTLAY, M., CEMİL, B., TOPUZ, A. K., DEMİRCAN, M. N., KÜÇÜKODACI, Z. (2011). İki ayrı faset eklemin aynı tarafta bulunması: Konjenital anomalili bir vaka. Turkish Neurosurgery, Cilt: 21 - Sayı: 2, 239–241. https://ajindex.com/articles/405065

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References (1)

  1. Archer E, Batniztky S, Franken EA, Muller J, Hale B: Congenital dysplasia of C2--6. Pediatr Radiol 6:121-122, 1977 2. Cox HE, Bennett WF: Computed tomography of absent cervical pedicle. J Comput Assist Tomogr 8:537-539, 1984 3. Hanson EC, Shook JE, Wiesseman GJ, Wood VE: Congenital pedicle defects of the axis vertebra. Report of a case. Spine 15:236-238, 1990 4. Harrop JS, Jeyamohan S, Sharan A, Ratliff J, Flanders A, Maltenfort M, Falowski S, Vaccaro A: Acute cervical fracture or congenital spinal deformity? J Spinal Cord Med 31:83-87, 2008 5. Ikeda K, Nakayama Y, Ishii S: Congenital absence of lumbosacral articular process: Report of three cases. J Spinal Disord 5:232-236, 1992 6. Rodríguez-Romero R, Vargas-Serrano B, Carro-Martínez A: Congenital absence of the neural arch in the cervical spine: An extreme form of pedicle absence. Eur J Radiol 20:100-104, 1995 7. Schwartz AM, Wechsler RJ, Landy MD, Wetzner SM, Goldstein SA: Posterior arch defects of the cervical spine. Skeletal Radiol 8: 135-139, 1982 8. Sheehan J, Kaptain G, Sheehan J, Jane J Sr: Congenital absence of a cervical pedicle: Report of two cases and review of the literature. Neurosurgery 47:1439-1442, 2000 9. Takashi K, Katsumi’s, Fumio K: Congenital absence of lumbar articular process; Report of four cases. Orthopaedic Surgery and Traumatology 44:1321-1328, 2001 10. Tebbal MR, Ben Romdhane MH, Montagne JP, Ducou le Pointe H, Lipszyc H: What is it? Congenital absence of the left pedicle of C7 vertebra. J Radiol 79:1509-1512, 1998 11. Wiener MD, Martinez S, Forsberg DA: Congenital absence of a cervical spine pedicle: clinical and radiologic findings. AJR Am J Roentgenol 155:1037-1041, 1990