Double-level myelopathy due to atlantoaxial dislocation (os odontoideum) and subaxial cervical spondylosis with angular kyphosis

BACKGROUND: The surgical management of cervical spondylotic myelopathy (CSM) attributed to os odontoideum (OO with atlantoaxial instability atlantoaxial instability) and subaxial kyphosis together pose significant surgical challenges. CASE DESCRIPTION: An elderly male presented with CSM/myelopathy a...

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Detalles Bibliográficos
Autores principales: Rahimizadeh, Abolfazl, Soufiani, Housain, Rahimizadeh, Shaghayegh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265439/
https://www.ncbi.nlm.nih.gov/pubmed/32494379
http://dx.doi.org/10.25259/SNI_104_2020
Descripción
Sumario:BACKGROUND: The surgical management of cervical spondylotic myelopathy (CSM) attributed to os odontoideum (OO with atlantoaxial instability atlantoaxial instability) and subaxial kyphosis together pose significant surgical challenges. CASE DESCRIPTION: An elderly male presented with CSM/myelopathy and severe quadriparesis attributed to an unstable OO and 87° fixed, subaxial cervical kyphosis. After performing a 540° spinal cord decompression with atlantoaxial fixation, the patient did well. CONCLUSION: Double-level CSM due to an unstable OO and subaxial kyphosis is rare and typically requires combined 540° decompression and stabilization.

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