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Os Odontoideum

J W Fielding, R N Hensinger, R J Hawkins

    The Journal of Bone and Joint Surgery. American Volume
    |April 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Trauma is the likely cause of os odontoideum, a rare spinal condition. This study of 35 patients found spine fusion effective for treating pain and instability associated with this abnormality.

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    Area of Science:

    • Orthopedics
    • Neurosurgery
    • Spinal Surgery

    Background:

    • Os odontoideum is a rare congenital or acquired abnormality of the upper cervical spine.
    • The etiology of os odontoideum remains debated, with trauma being a suspected cause.

    Purpose of the Study:

    • To investigate the etiology and clinical presentation of os odontoideum.
    • To evaluate the effectiveness of surgical treatment for os odontoideum.

    Main Methods:

    • Retrospective review of 35 patients diagnosed with os odontoideum.
    • Analysis of patient history, radiographic findings, and treatment outcomes.

    Main Results:

    • The study supports trauma as the primary etiology for os odontoideum.

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  • Most patients presented with radiographic instability and cervical pain, with only one-third experiencing neurological deficits.
  • Surgical spine fusion successfully alleviated pain and instability in the majority of patients.

    • Conclusions:

    • Os odontoideum is strongly associated with traumatic injury, often occurring in early childhood.
    • Surgical intervention, primarily spine fusion, is an effective treatment for managing symptoms and instability in os odontoideum.