THE ABSENT CERVICAL PEDICLE SYNDROME: A CASE IN CHILDHOOD

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Abstract
An example of absent cervical pedicle syndrome is reported in a 13 year old girl who presented with unilateral neck, shoulder and arm pain, and difficulty in writing. Roentgenographic and myelographic findings of absent cervical pedicle on a non-tumorogenic congenital basis are demonstrated. In the 11 previously reported adults, at least 7 had symptoms of pain or other neurologic complaint. On the oblique cervical roentgenogram, at the level of the absent pedicle, there was a double vertebral foramen, abnormally small transverse process and displaced lateral articular mass. The last finding is important in the differential diagnosis, particularly in regard to a dumbbell neurogenic tumor in which case the articulating mass is not so displaced.

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