Abstract

Os odontoideum is a rare anomaly of the second cervical vertebra, which can result in the compression and injury of cervical spinal cord. This deformity is surgically challenging. The authors presented a case of a 50-year-old man with a 2-year history of numbness and weakness in four limbs. The x-ray suggested the os odontoideum. MRI demonstrated a dramatic compression of the cervical spinal cord and an abnormally high signal intensity area in this region. The patient underwent a midline posterior approach for the treatment of this lesion. Postoperatively, the reduction results were satisfactory and the compression was relieved.The video can be found here: https://youtu.be/3qDzR2kOz8k.

Highlights

  • Os odontoideum is a rare anomaly of the second cervical vertebra, which can result in the compression and injury of cervical spinal cord

  • The sagittal CT scan showed a dystopic os odontoideum

  • The MRI demonstrated that the dramatic compression of the cervical spinal cord and abnormal high signal intensity area in this region

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Summary

Introduction

Os odontoideum is a rare anomaly of the second cervical vertebra, which can result in the compression and injury of cervical spinal cord. KEYWORDS os odontoideum; atlantoaxial reduction; bone graft fusion; internal fixation; video This video demonstrates a midline posterior approach for the treatment of os odontoideum via atlantoaxial reduction, bone graft fusion, and internal fixation. Anterior instability was noted on flexion x-ray examination.

Results
Conclusion
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