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      Hemivertebra of the cervical spine: an uncommon background for neck pain, cervical scoliosis, and torticollis

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          Key Clinical Message

          A 15‐year‐old female patient presented with neck pain accompanied by cervical scoliosis, on the existence of torticollis. Although rare, hemivertebra of the cervical spine is a congenital deformation associated with these three clinical features.

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          Hemivertebra: prenatal diagnosis, incidence and characteristics.

          Israel Goldstein, Imad Makhoul, Amir Weissman … (2015)
          Hemivertebra is a rare congenital spinal anomaly where only one side of the vertebral body develops, resulting in deformation of the spine, such as scoliosis, lordosis, or kyphosis. We aimed to determine the incidence and clinical characteristics of hemivertebra. We present three fetuses with a prenatal ultrasonographic diagnosis of hemivertebra at 15-22 weeks' gestation, and we determine the incidence and clinical characteristics of hemivertebra among 78,500 live-born infants at a tertiary medical center in Israel. There were 26 cases of hemivertebra (0.33/1,000 live-born infants): male/female ratio 1/1, Jewish/Arab ratio 10/16, and ratio of single/multiple type of hemivertebrae 17/9. Twenty-three out of 26 infants (88.5%) with hemivertebra had additional congenital anomalies (cranial, cardiac, renal, intestinal, and skeletal). Hemivertebra is not an infrequent finding in fetuses and live-born infants. Comprehensive ultrasonographic screening of the fetus allows early prenatal diagnosis of hemivertebra, and provides parents with helpful information for their decision regarding the fate of pregnancy. Copyright (c) 2005 S. Karger AG, Basel.
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            Cervical subluxation associated with posterior cervical hemivertebra.

            R Otero-López, M. Rivero-Garvía, J Marquez-Rivas … (2016)
            Hemivertebrae, associated with a failure in the formation and fusion of vertebral body ossification nuclei, are a common cause of thoracic or lumbar scoliosis. A cervical location is rare and even rarer as a cause of cervical subluxation in flexion and extension (for which only one previous case has been found).
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              Author and article information

              Contributors
              Stylianos Kapetanakis:
              ORCID: http://orcid.org/0000-0001-6276-2447
              stkapetanakis@yahoo.gr
              Journal
              Journal ID (nlm-ta): Clin Case Rep
              Journal ID (iso-abbrev): Clin Case Rep
              Journal ID (doi): 10.1002/(ISSN)2050-0904
              Journal ID (publisher-id): CCR3
              Title: Clinical Case Reports
              Publisher: John Wiley and Sons Inc. (Hoboken )
              ISSN (Electronic): 2050-0904
              Publication date (Electronic): 22 August 2017
              Publication date Collection: October 2017
              Volume: 5
              Issue: 10 ( doiID: 10.1002/ccr3.2017.5.issue-10 )
              Pages: 1718-1719
              Affiliations
              [ 1 ] Spine Department and Deformities Interbalkan Medical Center Thessaloniki Greece
              [ 2 ] Forensic Department General Hospital of Messinia Kalamata Greece
              [ 3 ] Department of Orthopedics and Traumatology Medical University Plovdiv Bulgaria
              Author notes
              [*] [* ] Correspondence

              Stylianos Kapetanakis, Spine Department and Deformities, Interbalkan Medical Center, Thessaloniki, Greece. Tel: +306972707384; Fax: +302541067200; E‐mail: stkapetanakis@ 123456yahoo.gr

              Author information
              http://orcid.org/0000-0001-6276-2447
              Article
              Publisher ID: CCR31144
              DOI: 10.1002/ccr3.1144
              PMC ID: 5628206
              PubMed ID: 29026581
              SO-VID: e53c1655-c111-4192-86d2-96ef9ffd47d1
              Copyright © © 2017 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.
              License:

              This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

              History
              Date received : 30 April 2017
              Date accepted : 26 July 2017
              Page count
              Figures: 2, Tables: 0, Pages: 2, Words: 524
              Categories
              Subject: Clinical Image
              Subject: Clinical Images
              Custom metadata
              source-schema-version-number 2.0
              component-id ccr31144
              cover-date October 2017
              details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_NLMPMC version:5.2.0 mode:remove_FC converted:04.10.2017

              Keywords: cervical scoliosis,hemivertebra,neck pain,torticollis
              Data availability:
              Keywords: cervical scoliosis, hemivertebra, neck pain, torticollis

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