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Surgical treatment of os odontoideum

Os odontoideum is a rare disease. There have been few reports of os odontoideum in the literature. In this study we retrospectively reviewed eight surgically treated patients. One patient underwent C1-2 transarticular screw fixation, five patients underwent C1-2 polyaxial screw and rod fixation and two patients with dystopic os odontoideum underwent occipito-cervical (O-C) fusion. Of the eight patients, neck pain was alleviated in seven (87.5%). Of the six patients who had neurological signs and symptoms, five (83.3%) exhibited neurological improvement. Radiologically, solid fusion was observed in seven patients (87.5%). Active surgical treatment should be considered even in patients with os odontoideum who exhibit mild symptoms. In most patients with os odontoideum, use of the C1-2 polyaxial screw and rod technique may be the most appropriate treatment. In patients with dystopic os odontoideum, O-C fusion should be considered

Keywords : Adult,Aged,Bone Screws,Female,Humans,instrumentation,Male,methods,Middle Aged,Neck,Neck Pain,Neurosurgery,Odontoid Process,Pain,pathology,Patients,Republic of Korea,Retrospective Studies,Spinal Fusion,surgery,Universities,, Treatment,Os,Odontoideum, torticulis

Date of Publication : 2011 Apr

Authors : Kim IS;Hong JT;Jang WY;Yang SH;Sung JH;Son BC;Lee SW;

Organisation : Department of Neurosurgery, St Vincent’s Hospital, The Catholic University of Korea, 93-6 Ji-dong, Paldal-ku, Suwon, Gyonggi-do 442-723, Republic of Korea

Journal of Publication : J Clin Neurosci

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21256752

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