Transitional vertebra

Changed by Calum Worsley, 28 Apr 2023
Disclosures - updated 12 Apr 2023: Nothing to disclose

Updates to Article Attributes

Body was changed:

A transitional vertebra is one that has indeterminate characteristics and features of vertebrae from adjacent vertebral segments. They occur at the junction between spinal morphological segments:

Their importance stems both because the altered anatomy can be symptomatic (e.g. cervical rib causing thoracic outlet syndrome) or because they can lead to confusion when describing findings and thus lead to an incorrect level operation.

Radiographic features

MRI
  • best identified on sagittal T1W and T2W images
  • correct identification can only be definitively proven if

    Radiographic features vary according to the entirearea of the spine is imaged

involved. Please see the links above for examples.
  • -<li>atlanto-occipital junction<ul>
  • -<a href="/articles/atlanto-occipital-assimilation">atlanto-occipital assimilation</a>: complete or partial fusion of C1 and the occiput</li>
  • -<li>
  • -<a href="/articles/occipital-vertebra">occipital vertebra</a>: an additional bone between C1 and the occiput</li>
  • +<p>atlanto-occipital junction</p>
  • +<ul>
  • +<li><p><a href="/articles/atlanto-occipital-assimilation">atlanto-occipital assimilation</a>: complete or partial fusion of C1 and the occiput</p></li>
  • +<li><p><a href="/articles/occipital-vertebra">occipital vertebra</a>: an additional bone between C1 and the occiput</p></li>
  • -<li>cervicothoracic junction<ul><li>
  • -<a href="/articles/cervical-rib">cervical rib</a> arising from C7</li></ul>
  • +<li>
  • +<p>cervicothoracic junction</p>
  • +<ul><li><p><a href="/articles/cervical-rib">cervical rib</a> arising from C7</p></li></ul>
  • -<li>thoracolumbar junction<ul><li>
  • -<a href="/articles/lumbar-rib">lumbar (13<sup>th</sup>) rib</a> arising from T13 or L1 (depending on numbering)</li></ul>
  • +<li>
  • +<p>thoracolumbar junction</p>
  • +<ul><li><p><a href="/articles/lumbar-rib">lumbar (13<sup>th</sup>) rib</a> arising from T13 or L1 (depending on numbering)</p></li></ul>
  • -<li>lumbosacral junction<ul><li>
  • -<a href="/articles/lumbosacral-transitional-vertebra">lumbosacral transitional vertebra</a>: most common</li></ul>
  • +<li>
  • +<p>lumbosacral junction</p>
  • +<ul><li><p><a href="/articles/lumbosacral-transitional-vertebra">lumbosacral transitional vertebra</a>: most common</p></li></ul>
  • -</ul><p>Their importance stems both because the altered anatomy can be symptomatic (e.g. cervical rib causing <a href="/articles/thoracic-outlet-syndrome">thoracic outlet syndrome</a>) or because they can lead to confusion when describing findings and thus lead to an incorrect level operation.</p><h4>Radiographic features</h4><h5>MRI</h5><ul>
  • -<li>best identified on sagittal T1W and T2W images</li>
  • -<li>correct identification can only be definitively proven if the entire spine is imaged</li>
  • -</ul>
  • +</ul><p>Their importance stems both because the altered anatomy can be symptomatic (e.g. cervical rib causing <a href="/articles/thoracic-outlet-syndrome">thoracic outlet syndrome</a>) or because they can lead to confusion when describing findings and thus lead to an incorrect level operation.</p><h4>Radiographic features</h4><p>Radiographic features vary according to the area of the spine involved. Please see the links above for examples.</p>

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