Butterfly vertebra A case report

Main Article Content

D. Adam
D. Iftimie
Gina Burduşa
Cristiana Moisescu

Abstract

Background and importance: Butterfly vertebra is an uncommon congenital spinal anomaly, which can be easily mistaken for vertebral fracture, infection or tumor.
Clinical presentation: We report the case of a 20-year-old male patient with a 3-year history of intermittent mid-thoracic spinal pain. Local examination showed a mild thoracic kyphoscoliosis. Neurological examination was normal. Computer tomography revealed the presence of a T6 butterfly vertebra associated with morphological anomalies in adjacent vertebral bodies and T6-T9 Schmorl's nodes. MRI scan confirmed the diagnosis and additionally showed a mild spinal stenosis caused by apparent posterior epidural fat hypertrophy. The patient was treated with painkillers and physical therapy.
Conclusion: Butterfly vertebra is a benign condition. Once diagnosed, additional diagnostic procedures are not necessary. Neurosurgeons must be aware of this congenital anomaly that should not be confused with a vertebral fracture.

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How to Cite
Adam, D., Iftimie, D., Burduşa, G., & Moisescu, C. (2017). Butterfly vertebra: A case report. Romanian Neurosurgery, 31(1), 80–84. Retrieved from https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/974
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Articles
Author Biographies

D. Adam

Department of Neurosurgery, “Saint Pantelimon” Clinical Emergency Hospital, Bucharest, ROMANIA
“Carol Davila” University of Medicine and Pharmacy, Bucharest, ROMANIA

D. Iftimie

Department of Neurosurgery, “Saint Pantelimon” Clinical Emergency Hospital, Bucharest, ROMANIA

Gina Burduşa

Department of Neurosurgery, “Saint Pantelimon” Clinical Emergency Hospital, Bucharest, ROMANIA

Cristiana Moisescu

Department of Neurosurgery, “Saint Pantelimon” Clinical Emergency Hospital, Bucharest, ROMANIA