DOUBLE TRANSVERSE FORAMEN IN INFANTILE CERVICAL VERTEBRAE OF THE LATE 17TH AND EARLY 18TH CENTURIES. Doble foramen transverso en las vértebras infantiles cervicales de finales del siglo XVII y principios del XVIII
DOI:
https://doi.org/10.31051/1852.8023.v7.n2.14176Keywords:
child, spine, congenital abnormalities, Spain, niño, raquis, anomalías congénitas, España.Abstract
La presencia de doble foramen transverso es una variante anatómica que se observa con frecuencia en el raquis cervical inferior y que presenta implicaciones clínicas en relación con la arteria vertebral. Aunque en la actualidad existe cierta controversia acerca de si el origen de esta variante cervical es congénito o adquirido, y a pesar de que la presencia de doble foramen transverso en población infantil descartaría un origen degenerativo-artrósico, se encuentra una falta de información acerca de su presencia en vértebras cervicales infantiles. En este sentido, nuestro objetivo ha sido analizar la presencia de doble foramen transverso en vértebras cervicales infantiles procedentes de restos óseos, datados entre finales del siglo XVII y principios del XVIII, y exhumados de una fosa común en la Iglesia de Nuestra Señora de los Ángeles en Castielfabib (Ademuz, España). Se encontraron 10 vértebras infantiles con doble foramen transverso, 4 de ellas pertenecientes a niños de menos de 4 años y 6 a niños de más de 4 años. Este hallazgo apoya un origen congénito de esta variante anatómica, frente a la hipótesis degenerativo-artrósica, y apunta a la necesidad de un estudio en profundidad acerca de la prevalencia actual de esta variante anatómica en población pediátrica, dadas sus posibles consecuencias clínicas.
Double transverse foramen is an anatomical variant often observed in the inferior cervical spine and which may present clinical considerations with regard to the vertebral artery. There is some current controversy as to whether the origin of this cervical variant is congenital or acquired. Despite the fact that its presence in children would discard a degenerative osteo-arthritic origin, there is a lack of information on the origin and physiological meaning of this anatomical feature. In this respect, our objective was to analyse the presence of double transverse foramen in infantile cervical vertebrae in skeletal samples dating from the end of the 17th and early 18th centuries and exhumed from a common grave in the "Nuestra Señora de los Ángeles" church, in Castielfabib (Ademuz, Valencia, Spain). Ten infantile vertebrae with double transverse foramen were discovered: 4 from children under 4 years old and 6 from children over 4 years old. This finding supports more a congenital origin than a degenerative osteoarthritis process. Therefore, it is fundamental to further study its prevalence in a current paediatric population and its clinical significance.
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