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Congenital Spondylolytic Spondylolisthesis of Cervical Spine - A Case Report and Review of the Literature -
Sung-Ku Park, M.D., Jung-Kil Lee, M.D., Yeon-Seong Kim, M.D., Soo-Han Kim, M.D.
Department of Neurosurgery, Chonnam National University Hospital & Medical School, Gwangju, Korea
Congenital Spondylolytic Spondylolisthesis of Cervical Spine - A Case Report and Review of the Literature -
Sung-Ku Park, M.D., Jung-Kil Lee, M.D., Yeon-Seong Kim, M.D., Soo-Han Kim, M.D.
Department of Neurosurgery, Chonnam National University Hospital & Medical School, Gwangju, Korea
Abstract
Cervical spondylolytic spondylolisthesis is a rare congenital anomaly, defined as a corticated defect in the pars interar- ticularis with anterolisthesis of the same vertebra. Accompanied spina bifida and dysplastic changes of the vertebra firmly support the possibility for its congenital origin. Accurate diagnosis and discrimination of this rare congenital condition from traumatic injury or other pathological conditions in patients with neck pain is very important, especially after a trivial traumatic event, because the traumatic injury and pathological conditions are more serious and need more aggressive treatments. Thorough radiological evaluation with precautions mentioned above is essential. Conservative treatments are considered in the majority of the congenital spondylolytic spondylolisthesis, and surgical treatments are reserved for symptomatic and mechanically unstable lesions. The authors report a case of congenital spondylolytic spondylolisthesis of the sixth cervical vertebra which was treated by a conservative strategy based on mild symptoms and mechanical stability, with review of the literatures.
Keywords: SpondylolysisㆍSpondylolisthesisㆍCongenitalㆍCervical spine


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