Split vertebrae

Classification according to ICD-10
Q76.4	Other congenital malformations of the spine without scoliosis
ICD-10 online (WHO version 2019)

A gap vortex , ( English vertebrae cleft; vertebral cleft , ancient Greek Spondyloschisis ) is a congenital malformation of the spine . In contrast to the arching anomalies , it is a disruption of the development of the vertebral bodies .

The term vertebral gap is to be distinguished as a term for spina bifida .

Development and designations

A vertebral body develops from three primary ossification centers . At the time of birth, there is usually a central core of bone and one each in the right and left halves of the arch. These nuclei are connected by cartilage; the x-ray shows the arch closure at the end of the 2nd year of life and the closure between body and arch between the 3rd and 6th year of life.

If the right and left halves of the vertebra are not connected, a gap in the sagittal plane , one speaks of a butterfly vertebra .

Gaps in the frontal plane occur less often , then it is a "frontal vertebral column" ( English Coronal clefts ).

Lateral x-ray of the lumbar spine in Kniest dysplasia with anterior vertebral clefts

Occurrence

Depending on the progress of the ossification, newborns and premature babies can be normal or a normal variant as the remainder of the notochord .

However, cleft vertebrae can also occur in a number of diseases:

More common:

Less common:

literature

A. Skórzewska, M. Grzymisławska, M. Bruska, J. Lupicka, W. Woźniak: Ossification of the vertebral column in human fetuses: histological and computed tomography studies. In: Folia morphologica. Vol. 72, No. 3, August 2013, pp. 230-238, PMID 24068685 .

Individual evidence

↑ ^a ^b ^c W. Schuster, D. Färber (editor): Children's radiology. Imaging diagnostics. Springer 1996, Vol. I, pp. 546ff, ISBN 3-540-60224-0 .

^ MA England: Color Atlas of Life Before Birth. Normal fetal development. Mosby, 1983, ISBN 0-8151-3119-4

^ A. Staudach: Fetal Anatomy in Ultrasound , Springer 1986, ISBN 3-540-16520-7

↑ S. Riggio, M. Burroni, A. Merli: [frontal vertebral cleft in the newborn]. In: Minerva medica. Vol. 67, No. 22, May 1976, pp. 1413-1416, PMID 778662 .

↑ J. Westvik, RS Lachman: Coronal and sagittal clefts in skeletal dysplasias. In: Pediatric Radiology. Vol. 28, No. 10, October 1998, ISSN 0301-0449 , pp. 764-770, doi: 10.1007 / s002470050462 . PMID 9799298 .

↑ Gamuts ( Memento of the original from January 27, 2016 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. @1@ 2

Web links

Radiopaedia

[Schuster-1] W. Schuster, D. Färber (editor): Children's radiology. Imaging diagnostics. Springer 1996, Vol. I, pp. 546ff, ISBN 3-540-60224-0 .

[2] MA England: Color Atlas of Life Before Birth. Normal fetal development. Mosby, 1983, ISBN 0-8151-3119-4

[3] A. Staudach: Fetal Anatomy in Ultrasound , Springer 1986, ISBN 3-540-16520-7

[4] S. Riggio, M. Burroni, A. Merli: [frontal vertebral cleft in the newborn]. In: Minerva medica. Vol. 67, No. 22, May 1976, pp. 1413-1416, PMID 778662 .

[5] J. Westvik, RS Lachman: Coronal and sagittal clefts in skeletal dysplasias. In: Pediatric Radiology. Vol. 28, No. 10, October 1998, ISSN 0301-0449 , pp. 764-770, doi: 10.1007 / s002470050462 . PMID 9799298 .