Acta Neurochirurgica

, Volume 61, Issue 4, pp 303–317 | Cite as

Congenital absence of a pedicle in the cervical spine

  • S. Tiyaworabun
  • D. Beeko
  • W. J. Bock


A case of agenesis of a pedicle of the cervical spine and its clinical course, posing difficulties in the differential diagnosis, is reviewed.


Enlarged intervertebral foramen spinal computerized tomography tortuous vertebral artery dumbbell tumour vertebral bone tumour spinal congenital abnormality 


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  1. 1.
    Abel, M. S., Moderately severe whiplash injuries of cervical spine and their roentgenologic diagnosis. Clin. Orthop.12 (1958), 189–208.Google Scholar
  2. 2.
    Anderson, R. E., Cervical pedicle erosion and rootlet compression caused by a tortuous vertebral artery. Radiology96 (1970), 537–538.Google Scholar
  3. 3.
    Brugman, E., Palmers, Y., Staelens, B., Congenital absence of pedicle in cervical spine. Neuroradiology17 (1979), 121–125.Google Scholar
  4. 4.
    Buetti, C., Zur Röntgendiagnostik seltener Fehlbildungen der Halswirbelsäule. Radiol. Clin.22 (1953), 141.Google Scholar
  5. 5.
    Chapman, M., Congenital absence of a pedicle in a cervical vertebra (C 6). Skeletal Radiol.1 (1976), 65–66.Google Scholar
  6. 6.
    Cailliet, R., Neck and Arm Pain.Google Scholar
  7. 7.
    Danziger, J., Jackson, H., Bloch, S., Congenital absence of a pedicle in the cervical vertebra. Clin. Radiol.26 (1975), 53–60.Google Scholar
  8. 8.
    Epstein, B.-S., The Spine. Philadelphia: Lea and Febiger. 1962.Google Scholar
  9. 9.
    Grasser, H., Klein, E., Differentialdiagnose seltener Wirbelsäulenveränderungen. Zeitschr. Orthop.88 (1957), 550–553.Google Scholar
  10. 10.
    Gaizler, Sr., G., Gaizler, Jr., G., Fehlen einer Bogenwurzel an der Halswirbel-säule. Fortschr. Geb. Röntgenstr. Nuklearmed.99 (1963), 421–423.Google Scholar
  11. 11.
    Gayral, N., Neuwirth, E., Oto-neuro-ophthalmologic manifestation of cervical origin; posterior cervical sympathetic syndrome of Barre-Lieu. N.Y. State J. Med.54 (1954), 1920–1926.Google Scholar
  12. 12.
    Grote, W., Bock, W. J., Bettag, W., Neurochirurgie. Stuttgart: G. Thieme. 1975.Google Scholar
  13. 13.
    Hadley, L. A., Congenital absence of pedicle from cervical vertebra. Am. J. Roentgenol. Rad. Ther. Nucl. Med.55 (1946), 193–197.Google Scholar
  14. 14.
    Hadley, L. A., Tortuosity and deflection of the vertebral artery. Am. J. Roentgenol.80 (1958), 306–312.Google Scholar
  15. 15.
    Hadley, L. A., The Spine. Springfield, Ill.: Ch. C Thomas. 1956.Google Scholar
  16. 16.
    Hutchinson, E. C., Yates, P. O., Cervical portion of vertebral artery; Clinical pathological study. Brain79 (1956), 319–331.Google Scholar
  17. 17.
    Hyyppä, S. E., Laasonen, E. M., Halonen, V., Erosion of cervical vertebrae caused by elongated and tortuous vertebral arteries. Neuroradiology7 (1974), 49–51.Google Scholar
  18. 18.
    Hassan, A. R., Atlas der Embryologie mit tabellarischer Synopsis. Stuttgart: Enke. 1978.Google Scholar
  19. 19.
    Tuchmann-Duplessis, H., David, G., Haegel, P., Illustrated Human Embryology, Vol. 1: Embryogenesis. Berlin-Heidelberg-New York: Springer. 1972.Google Scholar
  20. 20.
    Langebartel, D. A., An embryological explanation of human gross morphology. Baltimore-London-Tokyo: University Park Press.Google Scholar
  21. 21.
    Lewis, R. C., Cobrun, D. F., Vertebral artery; its role in upper cervical and head pain. Missouri Med.53 (1956), 1059–1063.Google Scholar
  22. 22.
    Louyot, P., Gaucher, A., Laxenaire, M., Agénésie du pédicule droit de la sixième vertebre cervicale et syndrome radiculaire. C7 par hernie discale. Rev. Rheumatisme34 (1967), 276–279.Google Scholar
  23. 23.
    Oestreich, A. E., Young, L. W., The absent cervical pedicle syndrome: a case in childhood. Am. J. Roentgenol.107 (1969), 505–510.Google Scholar
  24. 24.
    Schimmel, D. H., Newton, T. H., Mani, J., Widening of the cervical intervertebral foramen. Neuroradiology12 (1976), 3–10.Google Scholar
  25. 25.
    Steinbach, H. C., Boldrey, E. B., Sody, F. A., Congenital absence of a pedicle and superior facet from a cervical vertebra. Radiology59 (1952), 838–840.Google Scholar
  26. 26.
    Slover, W. P., Kiley, R. F., Cervical vertebral erosion caused by tortuous vertebral artery. Radiology84 (1965), 112–114.Google Scholar
  27. 27.
    Shands, A. R., Bundens, W. D., Congenital deformities of spine: analysis of roentgenograms of 700 children. Bull. Hosp. Joint. Dis.17 (1956), 110–133.Google Scholar
  28. 28.
    Wilson, C. B., Norrell, H. A., Fehler einer Bogenwurzel an der Halswirbel-säule. Fortschr. Geb. Röntgenstr. Nuklearmed.99 (1963), 421–423.Google Scholar
  29. 29.
    Wickbom, G. I., Williamson, M. R., Anomalous foramen transversarium of C 2 simulating erosion of bone. Neuroradiology19 (1980), 43–45.Google Scholar
  30. 30.
    Zatz, L. M., Burgess, D. W., Hanbery, J. W., Agenesis of pedicle in cervical spine. J. Neurosurg.20 (1963), 564–596.Google Scholar
  31. 31.
    Zimmerman, H. B., Farrel, W. J., Cervical vertebral erosion caused by vertebral artery tortuosity. Am. J. Roentgenol.108 (1970), 767–770.Google Scholar

Copyright information

© Springer-Verlag 1982

Authors and Affiliations

  • S. Tiyaworabun
    • 1
  • D. Beeko
    • 1
  • W. J. Bock
    • 1
  1. 1.Department of NeurosurgeryDüsseldorf University HospitalDüsseldorfGermany

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