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[Cervical spondylolysis : a rare fortuitous finding].

C Bodet1, P J Bruyère2, A Ferré3

  • 1Service de Médecine physique, Réadaptation fonctionnelle et Traumatologie du sport, CHU Liège, Belgique.

Revue Medicale De Liege
|December 17, 2020
PubMed
Summary

A rare case of cervical spondylolysis, often overlooked, presented in a young patient with shoulder and arm pain. This condition, typically seen in the lumbar spine, requires further investigation for accurate diagnosis and treatment.

Keywords:
Unilateral cervical spondylolysis – ImagingCervical spondylolysis

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Area of Science:

  • Physical Medicine and Rehabilitation
  • Radiology
  • Orthopedics

Background:

  • Cervical spondylolysis is an uncommon spinal condition, distinct from its more prevalent lumbar counterpart.
  • This pathology is often underdiagnosed or overlooked in clinical practice, particularly in younger demographics.

Observation:

  • A young patient presented with scapular and upper limb pain after heavy lifting, followed by cervical pain.
  • Cervical imaging incidentally revealed right C6 spondylolysis, which was determined to be an old, likely asymptomatic lesion.

Findings:

  • The patient's symptoms were attributed to causes other than the identified cervical spondylolysis.
  • This case highlights the rarity and diagnostic challenges associated with cervical isthmic spondylolysis.

Implications:

  • Emphasizes the need for comprehensive evaluation when patients present with persistent neck and shoulder pain.
  • Suggests that cervical spondylolysis, though rare, should be considered in the differential diagnosis of neck pain, especially when lumbar causes are ruled out.
  • Underscores the importance of differentiating acute symptoms from incidental, chronic findings in spinal imaging.