Hemivertebrae and cervical rib

Case contributed by Fernando Figueredo Savi
Diagnosis almost certain

Presentation

Patient being evaluated for chronic neck pain, without comorbidities

Patient Data

Age: 8 years
Gender: Male

Cervical spine

x-ray

Radiographs shows deviation of the cervical axis to the right and hypoplasia of C3, C4 and C5 spinous processes. Hemivertebra is observed at the T1 level. Cervical rib on the left.

Case Discussion

The patient presented with chronic neck pain, with no history of comorbidities or malformations.

Hemivertebra is a type of vertebral anomaly in which there is incomplete formation of a vertebral body, and may be related to congenital scoliosis and various syndromes 1,2.

Cervical rib is an anatomical variation in which C7 presents a rib, usually unilateral and asymptomatic, in some cases it may cause thoracic symptoms due to compression of structures (such as thoracic outlet syndrome) 1,2.

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