Os odontoideum. A neurologic syndrome after orthopedic reduction of a C1-C2 subluxation

A case of os odontoideum associated with a C1-C2 subluxation is described. During the reduction procedure by external manipulation, bulging of the membrana tectoria resulted into medullary compression followed by a neurological syndrome. An occipito-C2 arthrodesis was performed later on when the neu...

Full description

Saved in:
Bibliographic Details
Published inActa orthopaedica belgica Vol. 63; no. 2; pp. 118 - 121
Main Authors Himmer, O, Vancalster, A, Lootvoet, L, Ghosez, J P
Format Journal Article
LanguageFrench
Published Belgium 01.06.1997
Subjects
Atlanto-Axial Joint - injuries
Axis, Cervical Vertebra - surgery
Child, Preschool
Female
Humans
Joint Dislocations - therapy
Longitudinal Ligaments - injuries
Manipulation, Orthopedic
Occipital Bone - surgery
Odontoid Process - injuries
Spinal Cord Compression - etiology
Spinal Fractures - complications
Spinal Fusion
Syndrome
Online AccessGet full text

Cover

More Information
Summary:A case of os odontoideum associated with a C1-C2 subluxation is described. During the reduction procedure by external manipulation, bulging of the membrana tectoria resulted into medullary compression followed by a neurological syndrome. An occipito-C2 arthrodesis was performed later on when the neurological status recovered back to normal. The case reported underlines the possibility of neurological damage following closed reduction of a C1-C2 subluxation, while the surgical procedure should not be incriminated. The pathogenic mechanism may not be properly understood if closed reduction is followed by surgical treatment during the same session.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:0001-6462