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Widened interpedicular distance

MedGen UID:
868390
Concept ID:
C4022784
Finding
HPO: HP:0012679

Definition

An increase in the distance between vertebral pedicles, which are the two short, thick processes, which project backward, one on either side, from the upper part of the vertebral body, at the junction of its posterior and lateral surfaces. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVWidened interpedicular distance

Conditions with this feature

Hypochondroplasia
MedGen UID:
98376
Concept ID:
C0410529
Congenital Abnormality
Hypochondroplasia is a skeletal dysplasia characterized by short stature; stocky build; disproportionately short arms and legs; broad, short hands and feet; mild joint laxity; and macrocephaly. Radiologic features include shortening of long bones with mild metaphyseal flare; narrowing of the inferior lumbar interpedicular distances; short, broad femoral neck; and squared, shortened ilia. The skeletal features are very similar to those seen in achondroplasia but tend to be milder. Medical complications common to achondroplasia (e.g., spinal stenosis, tibial bowing, obstructive apnea) occur less frequently in hypochondroplasia but intellectual disability and epilepsy may be more prevalent. Children usually present as toddlers or at early school age with decreased growth velocity leading to short stature and limb disproportion. Other features also become more prominent over time.

Recent clinical studies

Etiology

Caffaro MF, Avanzi O
Spine (Phila Pa 1976) 2012 Feb 15;37(4):E231-6. doi: 10.1097/BRS.0b013e318237b0cf. PMID: 22333930
Schkrohowsky JG, Hoernschemeyer DG, Carson BS, Ain MC
J Pediatr Orthop 2007 Mar;27(2):119-22. doi: 10.1097/01.bpb.0000248570.50875.28. PMID: 17314632
Saengnipanthkul S, Jiraratanaphochai K, Pornpanawal S, Narakol P
J Med Assoc Thai 2003 Mar;86(3):270-5. PMID: 12757068
Durrani AA, Crawford AH, Chouhdry SN, Saifuddin A, Morley TR
Spine (Phila Pa 1976) 2000 Jan;25(1):69-75. doi: 10.1097/00007632-200001010-00013. PMID: 10647163

Diagnosis

Larson AN, Ledonio CGT, Brearley AM, Sucato DJ, Carreon LY, Crawford AH, Stevenson DA, Vitale MG, Moertel CL, Polly DW Jr
Spine Deform 2018 Sep-Oct;6(5):560-567. doi: 10.1016/j.jspd.2018.02.011. PMID: 30122392Free PMC Article
Caffaro MF, Avanzi O
Spine (Phila Pa 1976) 2012 Feb 15;37(4):E231-6. doi: 10.1097/BRS.0b013e318237b0cf. PMID: 22333930
Saengnipanthkul S, Jiraratanaphochai K, Pornpanawal S, Narakol P
J Med Assoc Thai 2003 Mar;86(3):270-5. PMID: 12757068
Durrani AA, Crawford AH, Chouhdry SN, Saifuddin A, Morley TR
Spine (Phila Pa 1976) 2000 Jan;25(1):69-75. doi: 10.1097/00007632-200001010-00013. PMID: 10647163
Quesada RS, Greenbaum EI, Hertl A, Zoda F
J Trauma 1975 Feb;15(2):167-9. doi: 10.1097/00005373-197502000-00012. PMID: 1113358

Prognosis

Larson AN, Ledonio CGT, Brearley AM, Sucato DJ, Carreon LY, Crawford AH, Stevenson DA, Vitale MG, Moertel CL, Polly DW Jr
Spine Deform 2018 Sep-Oct;6(5):560-567. doi: 10.1016/j.jspd.2018.02.011. PMID: 30122392Free PMC Article

Clinical prediction guides

Larson AN, Ledonio CGT, Brearley AM, Sucato DJ, Carreon LY, Crawford AH, Stevenson DA, Vitale MG, Moertel CL, Polly DW Jr
Spine Deform 2018 Sep-Oct;6(5):560-567. doi: 10.1016/j.jspd.2018.02.011. PMID: 30122392Free PMC Article
Saengnipanthkul S, Jiraratanaphochai K, Pornpanawal S, Narakol P
J Med Assoc Thai 2003 Mar;86(3):270-5. PMID: 12757068
Durrani AA, Crawford AH, Chouhdry SN, Saifuddin A, Morley TR
Spine (Phila Pa 1976) 2000 Jan;25(1):69-75. doi: 10.1097/00007632-200001010-00013. PMID: 10647163

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