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Crystal Deposition Disease of the Cervical Spine From 11 Years Experiences 2013

Category General Spine Kyunghee Choi
Sanghoon Lee
Minhee Lee
Myungjin Shin
Purpose To illustrate crystal deposited disease: hydroxyapatite crystal deposite disease (HADD) and calcium pyrophosphate dehydrate (CPPD) at the cervical spine with various imaging modalities. Materials & Methods We searched a database for cases of presuemed crystal associated disase of cervical spine during the last 11-year period. 14 cases were included with typical findings of crystal deposit disease: hydroxyapatite crystal deposite disease(HADD) and calcium pyrophosphate dehydrate (CPPD) of cervical spine on plain radiographs, CT or MR which shows the typical finding. We reviewed medical records for clinical symptoms and other laboratory findings ,such as ESR, CRP, also. Results We illustrate the typical features of HADD or CPPD at the cervical spine in all 14 cases (Male: 8, Female: 6, Mean age: 51 years old). There are calcific tendinitis of the longus colli (n=7), discal calcinosis (n=2) and crown dense syndrome (n=5) on radiograph, CT or MR. Conclusion Awareness of the findings of crystal-associated disease at the cervical spine will help to make an accurate diagnosis on various imaging modalities. References 1. Yoshiki Sekijima, Tkuhiro Yoshida, Shue-ichi Ikeda. Awareness of the findings of crystal-associated disease at the cervical spine will help to make an accurate diagnosis on various imaging modalities. Neurol Sci. 2010 15;296(1-2):79-82. 2. Rubenstein J, Pritzker KP. Crystal-associated arthropathies. Am J Roentgenol.1989 152:685–695 3. Garcia GM, McCord GC, Kumar R. Hydroxyapatite crystal deposition disease. Semin Musculoskelet Radiol 2003;7:187–193 4. Steinbach LS Calcium pyrophosphate dihydrate and calcium hydroxyapatite crystal deposition diseases: imaging perspectives. Radiol Clin North Am 2004;42:185–205