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These include block vertebrae, unsegmented bars and congenital cervical spine fusions as seen with Klippel-Feil syndrome [21].
Cervico-thoracic radiography showed C2-C5 vertebral deformities and block vertebrae, cervical kyphosis, and T1-T2 block vertebrae.
When multiple block vertebrae are present, the normal segments may become hypermobile and be subjected to significantly increased stress.
This study was unique in employing an in-vivo gold standard of fixation in the form of congenital block vertebrae.
When two adjacent vertebrae are osseously fused from birth, this joined unit is known as congenital block vertebrae.
Craniovertebral or vertebral malformations (e.g. spina bifida, spinous process malformations, hemivertebrae, and block vertebrae) may be associated with congenital intracranial or spinal dermoid sinus [ 6, 12, 14- 18].
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Diffuse vertebral segmentation anomalies were confirmed, involving thoracic, cervical and lumbar segments with fusions of vertebral bodies, posterior arches and spinous process, leading to several block vertebra and severe scoliosis (Figure 4).
Open image in new window Fig. 10 Ventral block vertebra in 8 month old: Lateral radiograph of the spine demonstrates fused L2 and L3 vertebral bodies (arrow).
Open image in new window Fig. 5 a Photograph of the full-term conjoined twin of case 3. b Three-dimensional reconstructed skeleton based on the CT data showed butterfly and block vertebra (turquoise arrow) with fused ribs (green arrow) between the two separate vertebral columns There were two heads, two arms and two legs with one broad pelvis.
Block vertebra formation C3/4.
Examiners were given no information about the subjects and were thus unaware that each had congenital block vertebra.
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