JBJS case connector · 2025
Severe Kyphosis with Os Odontoideum in Chondrodysplasia Punctata and the Case for Occipitocervical Fusion: A Case Report.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
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Otsuka Keisuke, Watanabe Kota, Suzuki Satoshi, Ozaki Masahiro, Nagoshi Narihito, Nakamura Masaya
Аннотация
CASE: A 7-year-old boy with chondrodysplasia punctata (CDP) and cervical myelopathy due to kyphosis with os odontoideum underwent anterior and posterior fusion from C2 to T2 with the aim of avoiding occipital fusion. However, occipital fusion was required 9 months after the initial surgery because of dysphagia caused by atlantoaxial subluxation.
CONCLUSION: The surgical strategy for cervical kyphosis with os odontoideum in patients with CDP remains controversial. We attempted to avoid occipital fusion; however, midcervical fusion resulted in instability at the os odontoideum, which necessitated extending the fusion to the occiput.
CONCLUSION: The surgical strategy for cervical kyphosis with os odontoideum in patients with CDP remains controversial. We attempted to avoid occipital fusion; however, midcervical fusion resulted in instability at the os odontoideum, which necessitated extending the fusion to the occiput.