Cervical myelopathy attributable to invaginated laminae of the axis related to occipitalizaion of the atlas: Case report and literature assessment.
Medication (Baltimore). 2017 Dec;96(51):e9156
Authors: Xu JX, Wang CG, Zhou CW, Tang Q, Li JW, Xu HZ, Mao FM, Tian NF
RATIONALE: In earlier research, few circumstances of cervical myelopathy attributable to invaginated anomalous laminae of the axis have been reported, and none of them was mixed with occipitalization of the atlas.
PATIENT CONCERNS: A 28-year-old male was delivered to our hospital with motor and sensory impairments of the extremities after a automotive accident.
DIAGNOSES: MRI confirmed the spinal twine was markedly compressed on the C2/three stage. Reconstructed CT scans revealed an invaginated laminae of axis into the spinal canal in addition to atlas assimilation.
INTERVENTIONS: The affected person was efficiently managed with surgical remedy by elimination of the anomalous osseous construction in addition to fixation and fusion.
OUTCOMES: The affected person had a fast restoration after the operation. He regained the conventional energy of his four extremities and the numbness of his extremities disappeared. He returned to his regular work three months after the surgical procedure with none signs.
LESSONS: Invaginated laminae of axis mixed with occipitalization of the atlas is a uncommon deformity. MRI and reconstructed CT scans are helpful for each diagnosing and surgical planning of this case. Surgical elimination of the laminae ends in a passable end result. The pathogenesis of this anomaly could possibly be the fusion sequence error of the four chondrification facilities within the embryological time period.
PMID: 29390447 [PubMed – indexed for MEDLINE]