Study of Thoracic Vertebral Synostosis in North India

Preeti Goswami¹ and Yogesh Yadav^1,

¹Department of Anatomy, Rama Medical College, Hapur, UP

Cite this paper

Preeti Goswami and Yogesh Yadav. Study of Thoracic Vertebral Synostosis in North India. American Journal of Medical Case Reports. 2014; 2(9):170-172. doi: 10.12691/AJMCR-2-9-2

Abstract

The fusion of vertebral column is a rare anomaly usually congenital in origin. Fusion of the vertebra can be congenital or acquired. Embryologically, failure of resegmentation of the vertebra is the cause. The differentiation and resegmentation of vertebrae occur at the time of organogenesis. Thus resegmentation is the hallmark of vertebral development. Inappropriate vertebral fusion results in block vertebrae or spinal fusion or vertebral synostosis. Fusion of vertebrae can be acquired in case of trauma, tuberculosis and juvenile arthritis. It can occur at various levels viz., cervical, lumbar and thoracic vertebral levels in order of frequency. Among the 350 dry specimens of all vertebrae collected in the Department of Anatomy, two analomous sets of fused thoracic vertebrae were found. Knowledge about any deviation from the normal anatomy of our vertebral column is very essential especially for orthopedician, forensic pathologist, neurologist and clinical anatomist for diagnosing the patients with such vertebral anomalies. Any congenital or acquired abnormality in the vertebrae may be asymptomatic or a cause of discomfort and inability to carry out various day to day activities because of the important structure related to them.

Keywords

fused vertebrae, thoracic synostosis

Copyright

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References

[1]	Seaver LH, Boyd E. Spondylocarpotarsal synostosis syndrome and cervical instability. PubMed Am J Med Genet 2000; 91(5): 340-4.
[2]	Al Kaissi A, Ghachem MB, Nassib N, Ben Chechida F, Kozlowski K. Spondylocarpotarsal synostosis syndrome (with a posterior midline unsegmented bar). Pub Med Skeletal Radiol 2005; 34(6): 364-6.
[3]	Inderbir Singh, Pal GP. Human Embryology. 8th ed. India: Mac Millan Publishers Limited; 2007. p. 116.
[4]	Datta AK. Essentials of Human Embryology. 6th ed. Kolkata: Current Books International; 2010. p. 278.
[5]	Inderbir Singh, Pal G P. Human Embryology. 8th ed. India: Mac Millan Publishers Limited; 2007. p. 119.
[6]	Erdil H, Yildiz N, Cimen M. Congenital fusion of cervical vertebrae and its clinical significance. Journal of Anatomical Society of India 2003; 52(2): 125-7.
[7]	Masnicova S, Benus R. Developmental anomalies in skeletal remains from the Great Moravia and Middle Ages cemeteries at Devin. International journal of osteoarchaeology 2003; 13:266-74.
[8]	Murray Brookes, Anthony Zietman. Clinical Embryology. USA: Library of Congress; 1998. p. 293.
[9]	Kulkarni Vasudha, Ramesh BR. A spectrum of Vertebral Synostosis. International Journal of Basic and Applied Medical Sciences 2012; 2(2): 71-7.
[10]	Jin–Kyu Park, Han – Young Huh, Kyeong–Sik Ryu and Chun–Kun Park. Traumatic Hemiparesis associated with Type III KlippelFeil syndrome. Journal of Korean Neurosurgical Society 2007; 42: 145-8.
[11]	Henry Grey, Editor. Grey’s Anatomy, 38th ed, Churchill Livingston 1995, p. 513.
[12]	Satish Bhargava. Radiological Differential Diagnosis. 1st ed. New Delhi: Jaypee Brothers; 2005. p. 528.
[13]	Batra Sameer, Ahuja Sashin. Congenital Scoliosis: Management and future directions. Actaorthopedica Belgica 2008; 74: 147-60.