Neural Arch Clefts Mimic Fractures: A Case Report and Literature Review

腰椎椎弓峽裂擬急性骨折影像：病例報告與文獻回顧

張瑞昇(Ruey-Sheng Chang) ； 蔡孟原(Meng-Yuan Tsai) ； 楊宗龍(Tsung-Lung Yang) ； 黃哲勳(Jer-Shyung Huang) ； 陳坤煌(Clement Kuen-Huang Chen)

《中華放射線醫學雜誌》 33卷1期 (2008/03) Pp. 47-50

摘要

從傳統X光與電腦斷層來區分脊椎椎弓峽裂與急性骨折對放射科醫師來說常會造成困擾。熟悉它的影像與型態分類可以讓我們避免誤認為骨折而導致不需要的臨床處置。我們報告一例女性創傷病人併有腰椎橫突骨折及一開始可能被誤認為急性骨折的兩處腰椎椎弓峽裂，並對於其常見發生位置及文獻做一回顧探討。

並列摘要

Neural arch cleft could be a challenge to radiologists to distinguish from acute fracture on plain radiograph or CT scan. It is important for radiologists to be familiar with the imaging appearance and types of neural arch cleft to avoid unnecessary management. Here we present a female patient with acute lumbar spine injury and several transverse process fractures, and incidental findings of two neural arch clefts which can be mistaken as acute fractures. Common locations of neural arch cleft and literatures are also reviewed.