Malformed vertebrae: a clinical and imaging review
Abstract A variety of structural developmental anomalies affect the vertebral column. Malformed vertebrae can arise secondary to errors of vertebral formation, fusion and/or segmentation and developmental variation. Malformations can be simple with little or no clinical consequence, or complex with...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2018-04-01
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| Series: | Insights into Imaging |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1007/s13244-018-0598-1 |
| _version_ | 1818354620927311872 |
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| author | Apeksha Chaturvedi Nina B. Klionsky Umakanthan Nadarajah Abhishek Chaturvedi Steven P. Meyers |
| author_facet | Apeksha Chaturvedi Nina B. Klionsky Umakanthan Nadarajah Abhishek Chaturvedi Steven P. Meyers |
| author_sort | Apeksha Chaturvedi |
| collection | DOAJ |
| description | Abstract A variety of structural developmental anomalies affect the vertebral column. Malformed vertebrae can arise secondary to errors of vertebral formation, fusion and/or segmentation and developmental variation. Malformations can be simple with little or no clinical consequence, or complex with serious structural and neurologic implications. These anomalies can occasionally mimic acute trauma (bipartite atlas versus Jefferson fracture, butterfly vertebra versus burst fracture), or predispose the affected individual to myelopathy. Accurate imaging interpretation of vertebral malformations requires knowledge of ageappropriate normal, variant and abnormal vertebral morphology and the clinical implications of each entity. This knowledge will improve diagnostic confidence in acute situations and confounding clinical scenarios. This review article seeks to familiarize the reader with the embryology, normal and variant anatomy of the vertebral column and the imaging appearance and clinical impact of the spectrum of vertebral malformations arising as a consequence of disordered embryological development. Teaching points • Some vertebral malformations predispose the affected individual to trauma or myelopathy. • On imaging, malformed vertebrae can be indistinguishable from acute trauma. • Abnormalities in spinal cord development may be associated and must be searched for. • Accurate interpretation requires knowledge of normal, variant and abnormal vertebral morphology. |
| first_indexed | 2024-12-13T19:28:20Z |
| format | Article |
| id | doaj.art-43fda32d37164942941a6af0126f9dc2 |
| institution | Directory Open Access Journal |
| issn | 1869-4101 |
| language | English |
| last_indexed | 2024-12-13T19:28:20Z |
| publishDate | 2018-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Insights into Imaging |
| spelling | doaj.art-43fda32d37164942941a6af0126f9dc22022-12-21T23:33:59ZengSpringerOpenInsights into Imaging1869-41012018-04-019334335510.1007/s13244-018-0598-1Malformed vertebrae: a clinical and imaging reviewApeksha Chaturvedi0Nina B. Klionsky1Umakanthan Nadarajah2Abhishek Chaturvedi3Steven P. Meyers4Department of Pediatric Radiology, Golisano Children’s Hospital, University of Rochester Medical CenterDepartment of Pediatric Radiology, Golisano Children’s Hospital, University of Rochester Medical CenterSri Jayewardenepura General HospitalDepartment of Pediatric Radiology, Golisano Children’s Hospital, University of Rochester Medical CenterDepartment of Pediatric Radiology, Golisano Children’s Hospital, University of Rochester Medical CenterAbstract A variety of structural developmental anomalies affect the vertebral column. Malformed vertebrae can arise secondary to errors of vertebral formation, fusion and/or segmentation and developmental variation. Malformations can be simple with little or no clinical consequence, or complex with serious structural and neurologic implications. These anomalies can occasionally mimic acute trauma (bipartite atlas versus Jefferson fracture, butterfly vertebra versus burst fracture), or predispose the affected individual to myelopathy. Accurate imaging interpretation of vertebral malformations requires knowledge of ageappropriate normal, variant and abnormal vertebral morphology and the clinical implications of each entity. This knowledge will improve diagnostic confidence in acute situations and confounding clinical scenarios. This review article seeks to familiarize the reader with the embryology, normal and variant anatomy of the vertebral column and the imaging appearance and clinical impact of the spectrum of vertebral malformations arising as a consequence of disordered embryological development. Teaching points • Some vertebral malformations predispose the affected individual to trauma or myelopathy. • On imaging, malformed vertebrae can be indistinguishable from acute trauma. • Abnormalities in spinal cord development may be associated and must be searched for. • Accurate interpretation requires knowledge of normal, variant and abnormal vertebral morphology.http://link.springer.com/article/10.1007/s13244-018-0598-1Vertebral malformationsChildrenSpineMagnetic resonance imagingDevelopmental |
| spellingShingle | Apeksha Chaturvedi Nina B. Klionsky Umakanthan Nadarajah Abhishek Chaturvedi Steven P. Meyers Malformed vertebrae: a clinical and imaging review Insights into Imaging Vertebral malformations Children Spine Magnetic resonance imaging Developmental |
| title | Malformed vertebrae: a clinical and imaging review |
| title_full | Malformed vertebrae: a clinical and imaging review |
| title_fullStr | Malformed vertebrae: a clinical and imaging review |
| title_full_unstemmed | Malformed vertebrae: a clinical and imaging review |
| title_short | Malformed vertebrae: a clinical and imaging review |
| title_sort | malformed vertebrae a clinical and imaging review |
| topic | Vertebral malformations Children Spine Magnetic resonance imaging Developmental |
| url | http://link.springer.com/article/10.1007/s13244-018-0598-1 |
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