Fatal instability following "odontoid sparing" transoral decompression of a periodontoid pseudotumour.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 12438485.
- Also identified by PMC identifier 1757339.
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Abstract
Pseudotumour of the craniovertebral junction is an uncommon cause of high cervical myelopathy in the elderly. The anterior transoral approach is the preferred means of accessing these lesions. An "odontoid sparing" transoral approach, in which there is only minimal bone removal, is thought to preserve stability of the craniovertebral junction, obviating the need for posterior stabilisation. This report is of an 82 year old man who developed fatal atlanto-axial instability following an odontoid sparing transoral resection of a pseudotumour. This complication has not previously been described and its occurrence has important implications for the surgical management of this condition.
Medical subject headings
- Atlanto-Axial Joint
- Decompression, Surgical
- Granuloma, Plasma Cell
- Joint Instability
- Odontoid Process
- Postoperative Complications
- Spinal Cord Compression
- Spinal Diseases