Fusion of the 2nd with the 3rd Cervical Vertebrae (C2-C3): A Case Series with Possible Clinical Significance.
Journal
Case reports in orthopedics
ISSN: 2090-6749
Titre abrégé: Case Rep Orthop
Pays: United States
ID NLM: 101591806
Informations de publication
Date de publication:
2023
2023
Historique:
received:
11
01
2023
revised:
23
10
2023
accepted:
03
11
2023
medline:
11
12
2023
pubmed:
11
12
2023
entrez:
11
12
2023
Statut:
epublish
Résumé
The current case series describes three cases of fusion between the 2nd cervical vertebra, the axis (C2), and the 3rd cervical vertebra (C3), creating a C2-C3 osseous complex and highlighting its morphological type of fusion (partial or complete) and morphometric details. The developmental background of this complex is emphasized, pointing out the possible clinical significance. The osseous complexes were derived from disarticulated skeletons of body donors and were collected from the osseous collection of the Anatomy Department of the Medical School of the National and Kapodistrian University of Athens. Three blocked vertebral complexes (2 partial and 1 complete C2-C3 osseous masses) were identified. In two cases, the vertebral bodies were partially fused and in one case were completely fused. In the 1st case, the C2-C3 complex had fused spinous processes and distinct transverse processes. Facets were completely fused on the left and partially fused on the right side. In the 2nd case, the C2-C3 complex had partially fused vertebral bodies and distinguishable spinous processes. In the 3rd case, the C2-C3 complex had completely fused vertebral bodies, facets, laminae, and transverse and spinous processes. Among the three (C2-C3) fused osseous complexes, the two were partially and the one was completely ossified. The fused vertebrae were characterized by osteophytic formations (at the dens and C3 area) and osteoporotic lesions. Taking into consideration the C2-C3 fusion, and possible coexisted variants, particular caution should be made in the upper cervical area, to interpret possible neurological manifestations and to reach a safe surgical plan.
Identifiants
pubmed: 38076299
doi: 10.1155/2023/3577693
pmc: PMC10708951
doi:
Types de publication
Case Reports
Langues
eng
Pagination
3577693Informations de copyright
Copyright © 2023 Eirini Demeneopoulou et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflict of interest.
Références
Clin Dysmorphol. 2020 Jan;29(1):35-37
pubmed: 31577545
Spec Care Dentist. 2023 Jan 20;:
pubmed: 36670527
Birth Defects Res. 2018 Jan;110(2):128-133
pubmed: 29377645
Folia Med Cracov. 2012;52(3-4):21-9
pubmed: 24852684
Clin Ter. 2012 Nov;163(6):463-6
pubmed: 23306737
Int Orthop. 1995;19(4):204-8
pubmed: 8557413
Radiology. 2014 Apr;271(1):172-82
pubmed: 24475792
Surg Radiol Anat. 2017 Jan;39(1):39-49
pubmed: 27192980
Spine Deform. 2018 Jul - Aug;6(4):448-453
pubmed: 29886918
Am J Med Genet A. 2020 Dec;182(12):2877-2886
pubmed: 33043602
Spine (Phila Pa 1976). 2006 Apr 20;31(9):972-8
pubmed: 16641772
Diagnostics (Basel). 2021 Dec 31;12(1):
pubmed: 35054258
Am J Med Genet. 2000 Apr 24;91(5):340-4
pubmed: 10766994
Acta Neurochir (Wien). 1982;61(1-3):111-26
pubmed: 6280454
Angle Orthod. 2008 Jan;78(1):176-80
pubmed: 18193959
Eur Spine J. 2013 Jul;22(7):1547-52
pubmed: 23661034
Eur J Orthod. 2007 Aug;29(4):398-403
pubmed: 17607022
Am J Roentgenol Radium Ther Nucl Med. 1964 Dec;92:1255-9
pubmed: 14237480
J Orthop Surg (Hong Kong). 2010 Aug;18(2):143-7
pubmed: 20808002
Ann Emerg Med. 1992 Jul;21(7):876-9
pubmed: 1610048