| Spondylolysis of C-2 in 2 athletically active individuals. | |
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MedLine Citation:
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PMID: 20594012 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cervical spondylolysis is an uncommon disorder involving a cleft at the pars interarticularis. It is most often found at the C-6 level, and clinical presentations have included incidental radiographic findings, neck pain, and rarely neurological compromise. Although subaxial cervical spondylolysis has been described in 150 patients, defects at the C-2 pedicles are rare. The authors present 2 new cases of C-2 spondylolysis in athletically active young persons who did not demonstrate instability or neurological deficits, were able to remain active, and are being managed conservatively with serial examinations and imaging. They also discuss the results of 22 previously reported cases of C-2 spondylolysis. Based on the literature and their own experience, the authors conclude that most patients with C-2 spondylolysis remain neurologically intact, maintain stability despite the bony defect, and can be managed conservatively. Surgery is reserved for patients who demonstrate severe instability or spinal cord compromise due to stenosis. |
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Authors:
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Oren N Gottfried; Scott L Parker; Ibrahim Omeis; Ali Bydon; Ziya L Gokaslan; Jean-Paul Wolinsky |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of neurosurgery. Spine Volume: 13 ISSN: 1547-5646 ISO Abbreviation: J Neurosurg Spine Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-02 Completed Date: 2010-08-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101223545 Medline TA: J Neurosurg Spine Country: United States |
Other Details:
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Languages: eng Pagination: 17-23 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, The Johns Hopkins Hospital, Baltimore, Maryland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Accidents, Traffic Adolescent Cervical Vertebrae / injuries*, radiography Female Humans Magnetic Resonance Imaging Male Pain Measurement Spondylolysis / diagnosis, etiology* Tomography, X-Ray Computed Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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