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Case 83

Unfused transverse process

Neck post RTA

This patient attended the Casualty department with a whiplash injury following a road traffic accident. He complained of mild neck pain.

Findings

This AP view of the cervical spine demonstrates lack of fusion of the right transverse process with the body of the firdt thoracic vertebra. The transverse process develops as an accessory ossification centre, but occasionally fusion does not take place. This should not be mistaken for a fracture. Note that the process has a well corticated margin all the way around, which is not consistent with a fracture.

Diagnosis

Unfused transverse process

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