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At least 199 records · Page 11Linked to original sources
PubMed1990

[Results of the treatment of fracture of the odontoid process of the axis].

At the Rehabilitation Institute in Konstancin there were 80 patients treated due to the fracture of the dens epistrophei within the years 1970-1986. In all the cases the fracture was within the base of the dens. More than 50% of the patients were over 50 years of age at the time of injury. On admission about 34% of patients had neurological disturbances of various degree manifested by paresis of the extremities. The leading cause of spine injury were falls from a height (60%), particularly from a horse-cart. In 55% of cases the injury was through extension mechanism. Surgical treatment was applied in 35 cases (29 cases of posterior fusion of CI-C1I by bone grafting and wire loop, 6 cases of axis dens and vertebral body CI1 fixation by AO screw, by Böhler method). The remaining 45 cases were conservatively treated. The paper presents the radiological results of conservative and surgical treatment as well as an analysis of the neurological recovery.

Accidental Falls↗
PubMed1988

Bilateral hypoglossal nerve palsy due to vertical subluxation of the odontoid process in rheumatoid arthritis.

Two patients with rheumatoid arthritis involving the cervical spine developed a rapidly progressive dysarthria due to bilateral hypoglossal nerve palsies, in one patient as an isolated lesion, and in the other in conjunction with dysfunction of the vagus and glossopharyngeal nerves. Both patients showed upward movement of the axis, relative to the foramen magnum, which has been termed 'vertical subluxation of the odontoid' or 'cranial settling'. Mechanical injury to the nerves, secondary to this process, is the most likely mechanism.

Aged↗
PubMed1978

[Lysis of the odontoid process in rheumatoid polyarthritis].

The authors report 9 cases of partial or total lysis of the odontoid peg in rheumatoid arthritis. Retrospective study of 100 cases of rheumatoid arthritis and the data from the literature demonstrate the rarity of these lesions, the last stage of the odontoid erosions which are much commoner. The therapeutic approach is usually nuero-surgical.

Aged↗
PubMed1981

Fracture of the atlas associated with fracture of the odontoid process.

A case of burst fracture of the atlas associated with a type II fracture of the odontoid is presented. In this instance no atlanto-axial instability was detected clinically. Treatment consisted of 1 week of rest in bed followed by 3 months in a collar. Management, though conservative, resulted in full recovery.

Adult↗
PubMedDate not supplied

[Odontoid process fractures associated with fractures of the pedicles of the axis (author's transl)].

The authors report their experience concerning eleven cases of that original and frequent association of fractures. The ligamentous lesions associated with those fractures are considered, justifying the necessary dynamic X rays. The eleven cases are reviewed and a classification supported by an iconography is given, according to the unstability of the odontoid or of the pedicles. The complications after orthopaedic or surgical treatment are analysed and the authors give their conclusions. The proposed treatment is conservative when the fractures are neither displaced nor unstable, and surgical when one of the two fractures is unstable. The best procedure is bi-pedicular screwing associated with C1/C2 wiring.

Aged↗
PubMed1981

Pathologic fracture of odontoid process secondary to amyloid deposition.

Immunocyte dyscrasias have increasingly been reported in patients with gammopathy-associated systemic amyloidosis. In "primary" amyloidosis, deposits occur in heart, smooth and skeletal muscle, bones and joints, skin, lungs and peripheral nerves. The formation of amyloid fibrils appears related to the lambda light chains in these monoclonal gammopathies. A 72-year-old white man is reported who developed massive deposits of amyloid in joints and bones, as well as other tissues. Twenty percent of his bone marrow population was comprised of plasma cells in various maturational stages, without forming solitary masses diagnostic of myeloma. Lambda light chains were the sole contributors to a selective increase in IgD, with a concomitant reduction of IgA, IgG, and IgM. The patient sustained a pathologic fracture through a deposit of amyloid in the odontoid. While he suffered severe posterior nuchal and occipital pain, no clinical features of compression myelopathy were evident. Postmortem examination revealed a minor degree of posterior column degeneration and an axonal reaction of anterior horn cells of the C-1 spinal cord segment. This case represents the second to be reported with amyloidosis of the vertebral column, pathologic fracture, and a spinal cord lesion.

Aged↗