Skip to main content

Malformations of the Vertebrae

  • Chapter
The Pediatric Spine II

Part of the book series: Principles of Pediatric Neurosurgery ((PRINCPEDIATR))

  • 124 Accesses

Abstract

Development of the vertebrae and spinal column begins in the third embryonic week and is completed at around 20 years of age. Development occurs by the processes of membrane formation, chondrification (both in the embryonal period), and ossification (in the fetal and postnatal periods). Teratologically speaking, because the embryonic cellular and tissue organization proceed in an exact sequential manner, a congenital malformation is induced in the upper (cephalic site of) vertebrae with early exposure to teratogenic factors, and in the lower (caudal) parts in late exposure (cephalocaudal sequence).1 Exposure to an effective teratogenic factor causes predictable types of spinal anomalies specific to each temporal period: (1) disorders of the notochord, (2) disorders of the unsegmented paraxial mesoderm, (3) disorders of segmentation, and (4) disorders of sclerotome differentiation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Tanimura T: Relationship of dosage and time of administration to teratogenic effects of thio-TEPA in mice. Okajimas Fol Anat Jpn 44:203–253, 1968.

    CAS  Google Scholar 

  2. Tsou PM, Yau A, Hodgson AR: Embryogenesis and prenatal development of congenital vertebral anomalies and their classification. In: Urist MR (ed): Clinical Orthopedics and Related Research, Vol. 152, Section II. Lippincott, Philadelphia, 1980, pp 211–231.

    Google Scholar 

  3. Furukawa C: Clinicopathoanatomical study of congenital vertebral anomalies. Nisseikaishi 37:485–510, 1963.

    CAS  Google Scholar 

  4. Page GT, Yock DH Jr: Total aplasia of the posterior arch of the atlas. Minn Med: 666–668, 1981.

    Google Scholar 

  5. Geipel P: Zur Kenntnis der Spaltbildung des Atlas und Epistropheus. Fortschr Pontgenstr 52:533–570, 1935.

    Google Scholar 

  6. Greenberg AD: Atlanto-axial dislocations. Brain 91:655–684, 1968.

    Article  PubMed  CAS  Google Scholar 

  7. Hensinger RN, Fielding JW, Hawkins RJ: Congenital anomalies of the odontoid process. Orthop Clin North Am 9:901–912, 1978.

    PubMed  CAS  Google Scholar 

  8. Rowland LP, Shapiro JH, Jacobson HG: Neurological syndromes associated with congenital absence of the odontoid process. Arch Neurol Psychiatry 80:286–291, 1958.

    CAS  Google Scholar 

  9. Nagashima C: Atlanto-axial dislocation due to the os odontoideum and the odontoid agenesis. Report of five cases with comments on pathophysiology and the occipitovertebral fixation with acrylic plastic (N. Dott) as a surgical treatment. No to Shinkei (JPN) 20:881–896, 1968.

    CAS  Google Scholar 

  10. Nordt JC, Stauffer ES: Sequelae of atlantoaxial stabilization in two patients with Down’s syndrome. Spine 6:437–440, 1981.

    Article  PubMed  CAS  Google Scholar 

  11. Hensinger RN, MacEwen GD: Congenital Abnormalities of the spine. In: Rathman, RH, Simeone FA (eds): The Spine. WB Saunders, Philadelphia, 1982, pp 216–233.

    Google Scholar 

  12. Fardon DF, Fielding JW: Defects of the pedicle and spondylolysthesis of the second cervical vertebra. J Bone Joint Surg 63:526–528, 1981.

    Google Scholar 

  13. Prioleau GR, Wilson CB: Cervical spondylolysis with spondylolisthesis. J Neurosurg 43:750–753, 1975.

    Article  PubMed  CAS  Google Scholar 

  14. Gunderson CH, Greenspan RH, Glaser GH, Lubs HA: The Klippel-Feil syndrome: genetic and clinical réévaluation of cervical fusion. Medicine 46:491–522,.

    Google Scholar 

  15. Eisemann ML, Sharma GK: The Wildervanck syndrome: cervico-oculo-acoustic dysplasia. Otolaryngol Head Neck Surg 87:892–897, 1979.

    PubMed  CAS  Google Scholar 

  16. Wildervanck LS, Hoekseman PE, Pennings L: Radiological examination of the inner ear of deafmutes presenting the cervico-oculo-acousticus syndrome. Acta Otolaryngol 61:445–453, 1966.

    Article  PubMed  CAS  Google Scholar 

  17. Adam MS, and Niswander JD: Health of the American Indian: congenital defects. Eugen Quart 15:227–234, 1968.

    Google Scholar 

  18. Carter CO, Roberts JAF: The risk of recurrence after two children with central nervous system malformations. Lancet i:306–308, 1967.

    Article  Google Scholar 

  19. Ingalls TH, Pugh TF, MacMahon B: Incidence of anencephalus, spina bifida, and hydrocephalus related to birth rank and maternal age. Br J Prevent Soc Med 8:17–23, 1954.

    CAS  Google Scholar 

  20. Goldstein LA, Waugh TR: Classification and terminology of scoliosis. Clin Orthop 93:22, 1973.

    Google Scholar 

  21. Lauy NW, Palmer CG, Merritt AD: A syndrome of bizarre vertebral anomalies. J Pediatr 60:1121–1125, 1966.

    Google Scholar 

  22. Pochaczeusky R, Ratner H, Perles D, et al.: Spondylothoracic dysplasia. Radiology 98:53–58, 1971.

    Google Scholar 

  23. Slabaugh PB, Winter RB, Lonstein JE, Moe JH: Lumbosacral hemivertebrae—a review of twenty-four patients, with excision in eight. Spine 5:234–244, 1980.

    Article  PubMed  CAS  Google Scholar 

  24. Uinke TH, White EH: Congenital narrowing of the lumbosacral space. Surg Gynecol Obstet 76:551, 1943.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag New York Inc.

About this chapter

Cite this chapter

Oi, S. (1989). Malformations of the Vertebrae. In: Raimondi, A.J., Choux, M., Di Rocco, C. (eds) The Pediatric Spine II. Principles of Pediatric Neurosurgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8829-6_1

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-8829-6_1

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4613-8831-9

  • Online ISBN: 978-1-4613-8829-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics