Surgical strategies for the treatment of os odontoideum with atlantoaxial dislocation

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Transoral approach for revision surgery of os odontoideum with atlantoaxial dislocation.

Revision surgery for os odontoideum with irreducible atlantoaxial dislocation with a transoral approach is not commonly seen. Typically, management of this type of atlantoaxial dislocation is through posterior fixation and fusion or transoral decompression and posterior fusion. This report describes revision surgery in a patient with os odontoideum who was treated with a transoral approach. A 5...

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Comparison of Cervical Alignment and Clinical Outcomes in Patients with Os Odontoideum versus Non-Os Odontoideum after Atlantoaxial Fixation

OBJECTIVE The purpose of this study was to compare the effect of atlantoaxial fixation on cervical alignment and clinical outcomes in patients with os odontoideum (OO) versus non-os odontoideum (non-OO). METHODS A total of 119 patients who underwent atlantoaxial fixation for instability were identified between January 1998 and January 2014. Inclusion criteria included age more than 21 years a...

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Ossification of the posterior atlantoaxial membrane associated with an os odontoideum: a case report.

We report a case of ossification of the posterior atlantoaxial membrane associated with an os odontoideum in a 46-year-old woman. She developed myelopathy following a minor motor vehicle accident. The patient underwent posterior atlantoaxial arthrodesis and resection of the ossified lesion and recovered uneventfully. Long-standing atlantoaxial instability might have played a role in ectopic oss...

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Os odontoideum with associated multidirectional atlantoaxial instability: imaging and clinical considerations.

Acquired anomalies of the craniovertebral junction although rare, may result in serious clinical sequella. The prevalence of craniovertebral anomalies remains unknown since they may remain clinically silent. Os odontoideum is one such anomaly. The etiology remains controversial over whether it is a post-traumatic or congenital condition but the clinical considerations of os odontoideum remain t...

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Surgical Management of Irreducible Atlantoaxial Dislocation

The classification and treatment of atlantoaxial dislocations (AAD) remains controversial. Despite existing debate among the literature, it is generally accepted that the treatment of symptomatic AAD should be surgical reduction and fixation. More recently, there has also been acknowledgement among treating surgeons that there are substantial differences between irreducible and reducible AAD, w...

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ژورنال

عنوان ژورنال: Journal of Neurosurgery: Spine

سال: 2018

ISSN: 1547-5654

DOI: 10.3171/2017.5.spine161211