“Congenital instability of cervical spine in a pediatric patient with cleft lip and palate”

Morselli, Carlotta; Mancini, Patrizia; Cirullo, Agostino; Mangiavini, Laura; Bassani, Roberto

doi:10.1016/j.inat.2021.101413

Cited by 1 publication

(1 citation statement)

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“…Many authors have postulated that a spondylotic alteration of the cervical vertebrae could lead to syrinx development following a narrowing of the cervical canal. Some identify the ‘ primum movens ’ in spinal instability, whereas others in intermittent spinal cord compression cause chronic ischaemic and mechanical insults 7–10…”

Section: Discussionmentioning

confidence: 99%

‘Tumour-like’ lesion caused by cervical discal instability

Santoro,

Morselli,

Cirullo

et al. 2024

BMJ Case Rep

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We present the case of a man in his 40s who sought medical attention due to central cord syndrome. MRI findings demonstrated contrast uptake, spinal swelling, syrinx formation and narrowing of the spinal canal. We encountered two potential scenarios:when malignancy is suspected, the patient would undergo a biopsy. However, if the lesion is ultimately determined to be benign, the patient would have been subjected to an avoidable risk of neurological damage associated with the procedure. Conversely, addressing the lesion as a result of a degenerative process (discal instability), performing an anterior approach for interbody fusion with an underlying malignant process could lead to substantial delays in the diagnosis, finally producing a poor outcome. A comprehensive imaging workup was conducted to rule out malignancy. We hypothesised that discal instability was responsible for the observed findings. The patient was successfully treated with anterior cervical decompression and fusion, without complications. Follow-up evaluations confirmed remission of the condition.

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Section: Discussionmentioning

confidence: 99%