A 66-year-old man was due to his complaints of neck pain after he fell down in his apartment two days ago. On physical examination, local tenderness at the posterior aspect of the neck from the level C2 to T2 was noted. No ecchymosis or hematoma was detected. Minimal restriction on flexion and rotations of cervical column was observed. Neurologic examinations were normal. Lateral view X-ray and axial spiral tomography of the cervical spine showed three supernumerary ossicles aligned within the nuchal ligament at the level of C4-C6 vertebral spinous processes.
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