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Developmental stenosis of the cervical spine in children
Insights
Developmental cervical spinal stenosis narrows the spinal canal, potentially causing myelopathy in adults and adolescents. Diagnosis involves imaging like MRI to confirm cord compression.
Area of Science:
- Neurology
- Orthopedic Surgery
- Radiology
Background:
- Developmental cervical spinal stenosis is a congenital narrowing of the cervical spinal canal.
- It primarily affects the anteroposterior dimensions, increasing risk for spinal cord compression.
Observation:
- This condition, though rare, affects the pediatric population.
- Three adolescent cases were identified, highlighting its presence in younger individuals.
Findings:
- Diagnosis is suggested by identifying a narrowed sagittal diameter on lateral cervical radiographs.
- Myelography, CT, and MRI can corroborate the diagnosis of cervical spinal stenosis.
Implications:
- Early identification and diagnosis are crucial for managing potential myelopathy.
- Understanding pediatric cervical spinal stenosis aids in timely intervention and treatment planning.
Abstract:
Developmental stenosis of the cervical spine results in a reduction of the caliber of the cervical spinal canal that is greatest in the anteroposterior dimensions. This usually becomes symptomatic in adults when a myelopathy may result from compression of the cervical cord by small osteophytes or by hyperextension injury without fracture or dislocation. Although incidence and prevalence data are not available, this condition does occur in the pediatric population since we have encountered three adolescents with this condition. The diagnosis of cervical spinal stenosis can be suggested when narrowing of the sagittal diameter of the spinal canal on a lateral cervical radiograph is identified. Subsequent corroboration can be obtained with myelography, computed tomography, or magnetic resonance imaging.