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
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author Rahimizadeh, Abolfazl
Soufiani, Housain
Rahimizadeh, Shaghayegh
author_facet Rahimizadeh, Abolfazl
Soufiani, Housain
Rahimizadeh, Shaghayegh
author_sort Rahimizadeh, Abolfazl
collection PubMed
description 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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spelling pubmed-72654392020-06-02 Double-level myelopathy due to atlantoaxial dislocation (os odontoideum) and subaxial cervical spondylosis with angular kyphosis Rahimizadeh, Abolfazl Soufiani, Housain Rahimizadeh, Shaghayegh Surg Neurol Int Case Report 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. Scientific Scholar 2020-05-09 /pmc/articles/PMC7265439/ /pubmed/32494379 http://dx.doi.org/10.25259/SNI_104_2020 Text en Copyright: © 2020 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Rahimizadeh, Abolfazl
Soufiani, Housain
Rahimizadeh, Shaghayegh
Double-level myelopathy due to atlantoaxial dislocation (os odontoideum) and subaxial cervical spondylosis with angular kyphosis
title Double-level myelopathy due to atlantoaxial dislocation (os odontoideum) and subaxial cervical spondylosis with angular kyphosis
title_full Double-level myelopathy due to atlantoaxial dislocation (os odontoideum) and subaxial cervical spondylosis with angular kyphosis
title_fullStr Double-level myelopathy due to atlantoaxial dislocation (os odontoideum) and subaxial cervical spondylosis with angular kyphosis
title_full_unstemmed Double-level myelopathy due to atlantoaxial dislocation (os odontoideum) and subaxial cervical spondylosis with angular kyphosis
title_short Double-level myelopathy due to atlantoaxial dislocation (os odontoideum) and subaxial cervical spondylosis with angular kyphosis
title_sort double-level myelopathy due to atlantoaxial dislocation (os odontoideum) and subaxial cervical spondylosis with angular kyphosis
topic Case Report
url 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
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AT soufianihousain doublelevelmyelopathyduetoatlantoaxialdislocationosodontoideumandsubaxialcervicalspondylosiswithangularkyphosis
AT rahimizadehshaghayegh doublelevelmyelopathyduetoatlantoaxialdislocationosodontoideumandsubaxialcervicalspondylosiswithangularkyphosis

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