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At least 1,099 records · Page 61Linked to original sources
PubMed1987

Pyogenic osteomyelitis of the occiput, the atlas, and the axis. A report of five cases.

Pyogenic osteomyelitis rarely affects the first and second cervical vertebrae, and when it does it can progress to abscess formation, compressing the spinal cord. If the process is unrecognized, it can be fatal. The cases of five patients are reported. Two patients were treated by anterior débridement and posterior cervical-occipital arthrodesis; one, by transoral drainage; one, by posterior cervical-occipital arthrodesis; and the fifth, by posterior atlanto-axial arthrodesis. The causative organism was Staphylococcus aureus in four patients and Pasteurella multocida in one. In all patients, intravenous antibiotics were used, followed by prolonged administration of oral antibiotics. All five patients recovered.

Aged↗
PubMedDate not supplied

[Unusual coincidence of dens aplasia and atlas malformation with early childhood spastic tetraparesis. Case report on the differential diagnosis of inflammatory atlantoaxial dislocation].

We report on the case of a 33 year old woman with acute tetraparesis and radiological evidence of atlantoaxial dislocation who had to undergo several attempts at osteosynthetic stabilisation of the cervical spine. She was afflicted with a spastic walk since the early years of childhood which had been explained by encephalitis after umbilical sepsis. The etiology of this severe and grave cervical instability however was found in a very rare congenital developmental disturbance of the occipitocervical passage with dystope os odontoid, extreme hypoplasia of the dens axis and additionally an osseous link between left processus transversus atlantis and occiput. Diagnostic problems arose from a simultaneous psoriasis, because a psoriatic cervical spondylitis seemed possible.

Adult↗