An uncommon case mimicking cervical trauma: Os odontoideum

نویسندگان

  • Idiris Altun
  • Kasim Zafer Yuksel
چکیده

Os odontoideum is a separate odontoid process from the body of the axis. It is the most common anomaly of the odontoid process. Patients with this condition can be asymptomatic or present with a wide range of neurological dysfunctions. It may cause cervical instability, atlantoaxial dislocation and myelopathy. This anomaly can mimic Type I and II odontoid fractures. There is a role for conservative treatment of an asymptomatic incidentally found, radiologically stable and non-compressive os odontoideum. However, surgical treatment has a definitive role in symptomatic cases. In this study, the case is presented of a 31 year-old male patient with neck pain who was diagnosed with incidental os odontoideum. The diagnosis of acute odontoid fracture was discarded in this case as the radiological findings were of a characteristic cortex with smooth contours, and there was no history of recent trauma, sclerosis or hypertrophy of the anterior tubercle of the atlas.

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منابع مشابه

Imaging findings of chronic subluxation of the os odontoideum and cervical myelopathy in a child with Beare-Stevenson cutis gyrata syndrome after surgery to the head and neck.

INTRODUCTION Although uncommon, fractures of the os odontoideum are known to occur in children under 7 years old, following acute trauma. CLINICAL PICTURE We report a case of chronic subluxation of the os odontoideum resulting in cervical myelopathy in a child with Beare-Stevenson cutis gyrata syndrome after surgery to the head and neck. TREATMENT AND OUTCOME The patient was initially put i...

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Os odontoideum is a rare atlantoaxial abnormality that affects the odontoid process. It has been proposed to be a congenital anomaly due to lack of chondral tissue or failed ossification along the growth line of the proatlas and the first spinal sclerotome, which are the precursors for the future odontoid process [1]. Some authors have argued against this theory and believe that os odontoideum ...

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An Unusual Association of Os Odontoideum Compressive Synovial Cyst and Multiple Sclerosis: Case Report and Review of the Literature

Os odontoideum is a rare atlantoaxial abnormality that affects the odontoid process. It has been proposed to be a congenital anomaly due to lack of chondral tissue or failed ossification along the growth line of the proatlas and the first spinal sclerotome, which are the precursors for the future odontoid process [1]. Some authors have argued against this theory and believe that os odontoideum ...

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عنوان ژورنال:

دوره 17  شماره 

صفحات  -

تاریخ انتشار 2017