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Double-level myelopathy due to atlantoaxial dislocation (os odontoideum) and subaxial cervical spondylosis with angular kyphosis.
Surg Neurol Int. 2020; 11:100.SN

Abstract

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.

Authors+Show Affiliations

Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran.Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran.Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

32494379

Citation

Rahimizadeh, Abolfazl, et al. "Double-level Myelopathy Due to Atlantoaxial Dislocation (os Odontoideum) and Subaxial Cervical Spondylosis With Angular Kyphosis." Surgical Neurology International, vol. 11, 2020, p. 100.
Rahimizadeh A, Soufiani H, Rahimizadeh S. Double-level myelopathy due to atlantoaxial dislocation (os odontoideum) and subaxial cervical spondylosis with angular kyphosis. Surg Neurol Int. 2020;11:100.
Rahimizadeh, A., Soufiani, H., & Rahimizadeh, S. (2020). Double-level myelopathy due to atlantoaxial dislocation (os odontoideum) and subaxial cervical spondylosis with angular kyphosis. Surgical Neurology International, 11, 100. https://doi.org/10.25259/SNI_104_2020
Rahimizadeh A, Soufiani H, Rahimizadeh S. Double-level Myelopathy Due to Atlantoaxial Dislocation (os Odontoideum) and Subaxial Cervical Spondylosis With Angular Kyphosis. Surg Neurol Int. 2020;11:100. PubMed PMID: 32494379.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Double-level myelopathy due to atlantoaxial dislocation (os odontoideum) and subaxial cervical spondylosis with angular kyphosis. AU - Rahimizadeh,Abolfazl, AU - Soufiani,Housain, AU - Rahimizadeh,Shaghayegh, Y1 - 2020/05/09/ PY - 2020/03/16/received PY - 2020/04/15/accepted PY - 2020/6/5/entrez PY - 2020/6/5/pubmed PY - 2020/6/5/medline KW - Anterior osteotomy KW - Cervical spine KW - Fixed cervical kyphosis KW - Pedicle screw fixation KW - Smith-Peterson osteotomy SP - 100 EP - 100 JF - Surgical neurology international JO - Surg Neurol Int VL - 11 N2 - 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. SN - 2229-5097 UR - https://www.unboundmedicine.com/medline/citation/32494379/Double-level_myelopathy_due_to_atlantoaxial_dislocation_(os_odontoideum)_and_subaxial_cervical_spondylosis_with_angular_kyphosis DB - PRIME DP - Unbound Medicine ER -
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