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    "titulo" => "Agenesia congénita del pedículo en una vértebra cervical. Hallazgo casual en pacientes con cervicalgia. Diagnóstico de certeza mediante TC espiral"
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La agenesia cong&#233;nita de ped&#237;culo en una v&#233;rtebra cervical suele diagnosticarse de forma incidental en pacientes con cervicalgia&#44; despu&#233;s de sufrir un traumatismo&#46; Su tratamiento es conservador&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se describe un caso de agenesia de ped&#237;culo en la cuarta v&#233;rtebra cervical&#46; Se exponen las claves principales para el diagn&#243;stico&#44; basado en los hallazgos en radiolog&#237;a simple y TC espiral&#46; Los signos radiol&#243;gicos son caracter&#237;sticos&#44; aunque con frecuencia se confunden con una luxaci&#243;n unilateral de articulaciones interapo-flsarias&#44; cuyo tratamiento consiste en tracci&#243;n cervical o fijaci&#243;n quir&#250;rgica&#46;</p>"
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                        0 => array:2 [
                          "etal" => false
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                      "titulo" => "Imaging of the absent cervical pedicle sindrome"
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                      "titulo" => "Rotational injury of cervical facets&#58; CT analysis of fracture patterns with implications for management and neurologic outcome"
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                          "autores" => array:3 [
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Vol. 15. Núm. 5.
Páginas 476-479 (enero 2004)
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Vol. 15. Núm. 5.
Páginas 476-479 (enero 2004)
Agenesia congénita del pedículo en una vértebra cervical. Hallazgo casual en pacientes con cervicalgia. Diagnóstico de certeza mediante TC espiral
Congenital absence of a cervical spine pedicle. Incidental finding in patient with cervical pain. Diagnostic approach by helical CT
Visitas
2864
M.D. Morales-Cano
, V. Vázquez-Saez, M. Reus-Pintado, V. Climent-Oltra
Servicio de Radiodiagnóstico. Hospital Universitario Virgen de la Arrixaca. Murcia
M. Martínez Pérez*
* Servicio de Neurocirugía. Hospital Universitario Virgen de la Arrixaca. Murcia
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Resumen

La agenesia congénita de pedículo en una vértebra cervical suele diagnosticarse de forma incidental en pacientes con cervicalgia, después de sufrir un traumatismo. Su tratamiento es conservador.

Se describe un caso de agenesia de pedículo en la cuarta vértebra cervical. Se exponen las claves principales para el diagnóstico, basado en los hallazgos en radiología simple y TC espiral. Los signos radiológicos son característicos, aunque con frecuencia se confunden con una luxación unilateral de articulaciones interapo-flsarias, cuyo tratamiento consiste en tracción cervical o fijación quirúrgica.

Palabras clave:
Vértebra
Pedículo
Alteración congénita cervical
TC
Abreviaturas:
TC
MIP
Summary

Congenital absence of a cervical pedicle is usually an incidental finding in radiological studies made after trauma in patients with cervical pain.

We report the case of a patient with congenital absence of the right pedicle in a cervical vertebra. Recognition of this anomaly is important to avoid confusion with more clinically significant anomalies, such as unilateral facet dislocation, that may result in inappropriate surgical intervention.

Key words:
Vertebra
Pedicle
Congenital cervical anomaly
CT

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