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Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure

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Cervical digit in a child: A case report.

Min-Ji Tong¹, Guang-Heng Xiang, Zi-Li He

¹Department of Spine Surgery, Zhejiang Spine Research Center, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.

|February 3, 2018

Summary

A rare "cervical digit" anomaly, a bone-like structure behind the neck vertebra, was surgically removed in a child. This successful excision resolved esthetic concerns and symptoms, with no recurrence observed.

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Area of Science:

Developmental biology
Orthopedic surgery
Radiology

Background:

A
digit-like
bone is a rare developmental anomaly, typically found in the pelvis or thorax.
Anomalies of this type in the cervical spine are exceptionally uncommon.
This case highlights a patient presenting with a gradually enlarging neck mass and esthetic concerns due to a posterior cervical anomaly.

Observation:

A patient presented with a palpable, hard neck mass and esthetic complaints.
Diagnostic imaging, including radiography, CT, and MRI, identified a digit-like bone posterior to the cervical vertebrae.
The anomaly exhibited pseudoarticulation with the spinous process of the fifth cervical vertebra (C5).

Findings:

The anomalous bone was composed of normal bone and cartilage.
Surgical excision via a posterior midline approach was performed due to progressive growth and esthetic concerns.
Postoperative recovery was uneventful, with the patient returning to normal activities.

Implications:

Congenital cervical digits are rare deformities requiring thorough clinical and imaging evaluation.
Esthetic concerns can be a valid indication for surgical intervention in such cases.
This report details the first successful surgical excision of a cervical digit, demonstrating a favorable long-term outcome.