There are several anatomical variants of the cervical vertebrae described in literature ranging from benign findings to those with varying clinical implications, including association with congenital diseases. We describe a case of an extremely rare anatomical variant of the cervical spine consisting of an accessory articulation of the cervical vertebrae C4 and C5 right transverse processes. The case is of a 35-year-old female who presented to primary care with 6-week history of intermittent, dull neck pain.
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