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Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C.

2023, Number 2

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Cir Columna 2023; 1 (2)

Bilateral compensated hemivertebrae in an asymptomatic patient: report of a butterfly vertebrae with an atypical presentation and review of the literature

Gutiérrez GGR, Lima RPG, Rivera SG, Capilla CA

Language: Spanish
References: 17
Page: 112-116
PDF size: 242.66 Kb.


ABSTRACT

Introduction: a butterfly vertebrae (sagittal cleft vertebra or anterior rachischisis) is a sagittal defect in the vertebral body caused by a failure in the fusion of the two lateral chondrification centers during embryogenesis. Objective: to present an atypical case of a patient with a butterfly vertebrae spine without any associated syndrome. Case presentation: a 22-year-old male patient suffered an electric arc burning and a fall of 3 m height. When he was carrying out his traumatic protocol, an L4 butterfly vertebra was identified in his plain roentgenograms. Previously the patient was totally asymptomatic. Conclusions: given the patient's work history (construction worker), he presented greater muscular strength at the level of the lower back. This could be considered a factor associated with this anatomical malformation's absence of clinical symptomatology.


REFERENCES

  1. Stanley JK, Owen R, Koff S. Congenital sacral anomalies. J Bone Joint Surg Br. 1979; 61-B: 401-409.

  2. Fisher F, Vandemark RE. Vértebra con hendidura sagital (mariposa). J Bone Joint Surg Am. 1945; 27: 695-698.

  3. Schlitt M, Dempsey PJ, Robinson RK. Cervical butterfly-block vertebra. A case report. Clin Imaging. 1989; 13: 167-170.

  4. Cho HL, Kim JS, Paeng SS, Lee SH. Butterfly vertebra with lumbar intervertebral disc herniation. J Neurosurg Spine. 2011; 15: 567-570.

  5. Katsuura Y, Kim HJ. Butterfly vertebrae: a systematic review of the literature and analysis. Global Spine J. 2019; 9: 666-679.

  6. Patinharayil G, Han CW, Marthya A, et al. Butterfly vertebra: an uncommon congenital spinal anomaly. Spine (Phila Pa 1976). 2008; 33: E926-928.

  7. Sonel B, Yalcin P, Arif OE, Bokesoy I. Butterfly vertebra: a case report. Journal of Clinical Imaging. 2001; 25: 206-208.

  8. Adam D, Iftimie D, Burdusa G, et al. Butterfly vertebra: a case report. Romanian Neurosurgery. 2017; 31: 80-84.

  9. Kapetanakis S, Giovannopoulou E, Nastoulis E, Demetriou T. Butterfly vertebra. A case report and a short review of the literature. Folia Morphol (Warsz). 2016; 75: 117-121.

  10. Satpathy A, Sloan R, Bhoora IG. Compression fracture or butterfly vertebra: diagnostic importance in a trauma setting. Ann R Coll Surg Engl. 2004; 86: W41-43.

  11. Sifuentes GWA, Gallego RJI, Vázquez DM. Butterfly vertebra. Reumatología Clínica. 2015; 11: 52-53.

  12. Carolina A, Lesyk S, Biosci JP, Abramzón F. Signo de vértebra en mariposa; signo de vértebra en mariposa. Rev Argent Radiol. 2014; 78: 63.

  13. Ridley LJ, Han J, Ridley WE, Xiang H. Butterfly vertebra: congenital variant. J Med Imaging Radiat Oncol. 2018; 62: 121-122.

  14. Müller F, O'Rahilly R, Benson DR. The early origin of vertebral anomalies, as illustrated by a 'butterfly vertebra'. J Anat. 1986; 149: 157-169.

  15. Acastello E, Garrido P. Actualización de la clasificación de las malformaciones congénitas de la pared torácica: 22 años de experiencia en un hospital pediátrico. Rev. Med Clin Condes. 2009; 20: 758-767.

  16. Alagille D, Estrada A, Hadchouel M, et al. Syndromic paucity of interlobular bile ducts (Alagille syndrome or arteriohepatic dysplasia): review of 80 cases. J Pediat. 1987; 110: 195-200.

  17. Balachandran G. Klippel-Feil Syndrome and anterior cervical meingomyelocele: a rare case report. ANJ Am J Neuroradiol. 2009; 30: E130.




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