Cervical intercalary bone

Case contributed by Olumuyiwa Ifedayo Ajayi
Diagnosis certain

Presentation

Recurrent neck pain.

Patient Data

Age: 50 years
Gender: Female
x-ray

Four triangular ossifications in the anterior aspect of the C3-4, C4-5, C5-6 and C6-7 intervertebral discs are indicative of intercalary bones.

Vertebral body heights and alignment, disc spaces and posterior elements are within normal limits.

 

Case Discussion

Intercalary bones are discal ossifications commonly of triangular morphology involving the anterior annular fibers of the disc.

They are thought to be metaplastic in origin and represents a normal variant of no clinical significance, or is found in association with degenerative disc disease of the corresponding disc segment.

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