Abstract

Cervical roentgenogram revealed a long-segment cervicothoracicvertebral fusion spanning 8 adjacent spinal levels. The patient wasevaluated with computed tomography (CT) and magnetic resonance(MR) imagings of the spine, electromyography (EMG) and growthdifferentiation factor 6 (GDF6) gene mutation analysis. Imagingfindings were atypical for congenital block vertebrae and therewas no GDF6 mutation. A revision of very old medical records andpatient’s recollections revealed long-term stay in sanatorium forrehabilitation of chronic partially-treated brucella spondylodiscitisduring adolescence. Block vertebrae spanning several levels havepreviously been reported; but, this is the first report of an acquiredcervicothoracic fusion spanning 8 adjacent vertebral bodies.

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