Odontoid osteomyelitis with atlantoaxial subluxation in an toddler.
Eur Backbone J. 2017 Could;26(Suppl 1):136-140
Authors: Park H, Byeon HK, Kim HS, Hong JJ, Suk KS
PURPOSE: To report a uncommon case of odontoid osteomyelitis with atlantoaxial subluxation in a 6-month-old toddler.
BACKGROUND: Odontoid osteomyelitis with atlantoaxial subluxation is extraordinarily uncommon in youngsters. Though a number of instances have been reported, there have been no research regarding correct surgical drainage and immobilization on this illness.
METHODS: A 6-month-old toddler with odontoid osteomyelitis with atlantoaxial subluxation was surgically handled. The affected person underwent a Three-month intravenous and oral antibiotic course and the Minerva physique jacket forged was used for Three months. Comply with-up was carried out with computed tomographic scans and a cervical backbone dynamogram.
RESULTS: At 18 months post-surgery, the affected person had utterly recovered with no cervical instability. Computed tomographic scans revealed full fusion of odontoid synchondrosis. The toddler remained asymptomatic with a full vary of head motion.
CONCLUSION: Surgical drainage and correct immobilization seems to be a passable remedy for pyogenic osteomyelitis of odontoid synchondrosis secondary to retropharyngeal abscess and atlantoaxial subluxation.
LEVEL OF EVIDENCE: N/A.
PMID: 28012078 [PubMed – indexed for MEDLINE]