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KMID : 1207720150070030406
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Clinics in Orthopedic Surgery
2015 Volume.7 No. 3 p.406 ~ p.409
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Differentiating between Traumatic Pathology and Congenital Variant: A Case Report of Butterfly Vertebra
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Orestis Karargyris
Kalliopi Lampropoulou-Adamidou
Lampros-Guiseppe Morassi
Ioannis P. Stathopoulos
Sofia N. Chatziioannou
Spyros G. Pneumaticos
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Abstract
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Butterfly vertebra is a rare congenital malformation of the spine, which is usually reported in the literature as an isolated finding. We describe a 40-year-old woman that presented to our emergency department with back pain and sciatica. Initial radiological evaluation revealed an incidental finding of a L4 butterfly vertebra in the anteroposterior and lateral view radiographs. The patient presented with no neurological deficit. This rare congenital anomaly is usually asymptomatic, and awareness of its non-traumatic nature is critical in order to establish a correct diagnosis. Further evaluation of the patient is necessary to exclude pathologic fracture, infection, or associated vertebral anomalies and syndromes, such as Alagille, Jarcho-Levin, Crouzon, and Pfeiffer syndromes. Furthermore, in the emergency setting, awareness of this entity is needed so that a correct diagnosis can be established.
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KEYWORD
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Butterfly vertebra, Vertebral anomalies, Congenital defect, Congenital anomalies, Congenital malformation
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