Fused cervical vertebrae: a coincidental finding in a lateral cephalogram taken for orthodontic diagnostic purposes

Samson, Renu Sarah; Varghese, Eby; Kumbargere, Sumanth Nagraj; Chandrappa, Pramod Redder

doi:10.1136/bcr-2016-217566

Cited by 1 publication

(1 citation statement)

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“…Anomalies of vertebrae like a congenital fusion/block are always interesting to locate and evaluate. It is often an incidental finding detected by professionals during a radiologic examination [1]. A block vertebra is asymptomatic until adulthood and sometimes till young adolescence [2].…”

Section: Introductionmentioning

confidence: 99%

Physiotherapy management of a patient with neck pain having block vertebra: a case report

Quais¹,

Suhail²

2023

Explor Musculoskeletal Dis

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Congenital fused/blocked vertebrae are an incidental finding in most cases. It remains asymptomatic unless there is a traumatic event or there is an increased biomechanical load which may be attributed to a task that is not typically performed by the individual. Symptomatic cases can present with several musculoskeletal symptoms including neck pain. Physiotherapy management strategies may help patients recover from the mechanical strains on the cervical neuromuscular structures. The present case is of a 21 year-old male engineering student who was referred for physiotherapy, he presented with complaints of neck pain (non-radiating in nature) for a week. The intensity of the pain had been intermittently increasing/decreasing for about a year and there were about 2–3 episodes in a month for approximately one year. He presented with an X-ray that showed C3–C4 cervical vertebrae synostosis (block vertebrae). The patient was managed using pain education and exercises along with ergonomic advice. Patient-reported pain decreased significantly from the initial visit and he was able to sit for a longer duration and had a considerable improvement in function.

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Section: Introductionmentioning

confidence: 99%