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Cervical myelopathy involving os odontoideum and retro-odontoid cyst treated with Harms C1-C2 arthrodesis.

Abstract：

:An episode of acute decompensation of cervical myelopathy occurred after an injury without fracture of an os odontoideum associated with a compressive retro-odontoid cyst. The 51-year-old female patient presented Fränkel C, Nurick grade 4 neurological status and pyramid syndrome. The initial MRI demonstrated an intramedullary T2 hyperintense signal in the context of spinal cord narrowing. The retro-odontoid cyst demonstrates atlantoaxial instability related to the os odontoideum. Harms C1-C2 arthrodesis without laminectomy was performed and the cyst disappeared completely. Spinal cord decompression was thus obtained on the MRI taken 3 months later. Neurological recovery was complete and continued at 1 year.

journal_name

Orthop Traumatol Surg Res

journal_title

Orthopaedics & traumatology, surgery & research : OTSR

authors

Le Pape S,Gauthé R,Latrobe C,Leroux J,Roussignol X,Ould-Slimane M

doi

10.1016/j.otsr.2016.06.008

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

817-20

issue

6

issn

1877-0568

pii

S1877-0568(16)30077-9

journal_volume

102

pub_type

杂志文章

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