IJAR.2017.219

Type of Article:  Case Report

Volume 5; Issue 2.3 (June 2017)

Page No.: 3923-3926

DOI: https://dx.doi.org/10.16965/ijar.2017.213

FUSION OF TYPICAL THORACIC VERTEBRAE: A CASE REPORT

Nivedha Viswanathan *1, Ayesha Parveen 2, Yuvaraj Maria Francis 3, Priya Dharshini gowthaman. A 4.

*1,2 BPT Student, Saveetha College of Physiotherapy, Saveetha Univeristy, Chennai, Tamilnadu, India.

3,4 Tutor, Department of Anatomy, Saveetha Medical College, Saveetha Univeristy, Chennai, Tamilnadu, India.

Address for Correspondence: Ms. Nivedha Viswanathan, No.39,Ashok Brindavan Nagar, 1st main road, Iyyappanthangal, Chennai-600 056, Tamilnadu, India. E-Mail: v.nivedha2008@gmail.com

ABSTRACT

Any abnormal fusion of vertebrae results in a clinical condition called block vertebrae or vertebral synostosis. Among all the known vertebral fusion, the fusion of thoracic vertebrae is less common and comparatively rare. During the formation of vertebral column in the 4th week of intrauterine life the sclerotome part of the somites migrate around the notochord and the neural tube and undergoes a process called resegmentation. Any defect in such a process can lead to vertebral anomalies causing neurological signs and symptoms. The possible cause for the fusion of thoracic vertebra can be congential, vertebral malformations DISH (diffuse idiopathic skeletal hyperostosis) and other rheumatological degenerative diseases or infections like tuberculosis. This can lead to wide complications affecting different systems of the body. The fusion of thoracic vertebra can present many clinical signs including formation of abnormal curvatures of the spine like scolosis, kyphosisetc .the objective of the study is to present a case on the fusion of typical thoracic vertebra.

KEY WORDS: Vertebral Malformations, Block Vertebrae, Scoliosis, Kyphosis, Sclerotome.

REFERENCES

  1. Erdil H, Yildiz N, Cimen M. Congenital fusionof cervical vertebrae and its clinicalsignificance. Journal of Anatomical Society ofIndia, 2003;52(2):125-127.
  2. Wazir S, Mahajan A. Fusion of axis with third cervical vertebra-a case report. Indian J Fundamental Applied Sciences, 2011;1(4):164-166.
  3. Kulkarni V, Ramesh BR. A spectrum of vertebral synostosis. International Journal of Basic and Applied Medical Sciences, 2012;2(2):71-77.
  4. Seaver LH, Boyd E. Spondylocarpotarsalsynostosis syndrome and cervical instability. PubmedAm J Med Genet, 2000;91(5):340-344.
  5. Soni P, Sharma V, Sengupta J. Cervical vertebral anomalies- incidental findings on lateral cephalograms. The Angle Orthodontist, 2008;78(1):176-180.
  6. Fernandes T, Costa C. Klippel-Feil syndrome with other associated anomalies in a medieval Portugese skeleton (13th – 15th century). J Anat., 2007;211:681-685.
  7. Shankar VV and Roopa R Kulkarni. Block vertebra, Fusion of axis with the third cervical vertebra- a case report. International Journal of Anatomical Variation, 2011;4:15-16.
  8. Brookes M, Zietman A. Clinical Embryology. USA: Library of Congress; 1998: 293.
  9. Johansen JG, mccartyDJ, Haughton VM. Retrosomatic clefts: computed tomographic appearance. Radiology, 1983;148:447-448.
  10. Brown MW, Templeton AW, Hodges FJ III. The incidence of acquired and congenital fusion in the cervical spine. Am J Radiology, 1964;92:1255-1259.
  11. Bhargava S. Radiological Differential Diagnosis. 1st edition, Jaypee Brothers, New Delhi, 2005:528.
  12. Thomas D, Kulkarni BG. A case of fusion of thoracic vertebra. Journal of Ayurveda and Holistic Medicine, 2013;1(5):23-26.
  13. Batra S, Ahuja S. Congenital Scoliosis: Management and future directions. ActaorthopedicaBelgica, 2008;74:147-160.
  14. Victor’s Notes. Cranial and vertebral anomalies. Dev 9(1) updated by May 13, 2010.
  15. Clarke RA, Catalan G, Diwan AD, Kearsley JH. Heterogeneity in Klippel-Feil syndrome: a new classification. Paediatric Radiology, 1998;28:967-974.
  16. Kulkarni V, Ramesh BR. A spectrum of vertebral synostosis. International Journal of Basic and Applied Medical Sciences, 2012;2(2):71-77.

Cite this article: Nivedha Viswanathan, Ayesha Parveen, Yuvaraj Maria Francis, Priya Dharshini gowthaman. A. FUSION OF TYPICAL THORACIC VERTEBRAE: A CASE REPORT. Int J Anat Res 2017;5(2.3):3923-3926. DOI: 10.16965/ijar.2017.219