Abstract

Juvenile intervertebral disc calcification is a rare but well described disorder of childhood. The syndrome consists of specific roentgenologic changes: calcification of nucleus pulposus in the intervertebral discs and occasional flattening and anterior wedging of the adjacent vertebral bodies. These changes can be accompanied by clinical symptoms such as neck pain, torticollis, general malaise and slight fever. The etiology and pathogenesis of the syndrome are obscure. The disease usually has a very benign course, the symptoms disappearing in few days and the calcifications in weeks or months. Herniation of the calcified nucleus pulposus has been observed, but even then the disease rarely demands surgery because of the self-limiting course. We present a review of the literature and a case history of a patient with uncommonly persisten roentgenologic changes both in the calcified nucleus pulposus and in the adjacent flattened vertebrae.

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