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Related Experiment Videos

[Post-traumatic os odontoideum]

N Schwarz1, J Bauer

  • 1Unfallkrankenhaus Meidling, Wien.

Der Unfallchirurg
|September 1, 1995
PubMed
Summary
This summary is machine-generated.

A child with acquired os odontoideum experienced delayed diagnosis of atlanto-axial instability after trauma. Successful surgical fusion was achieved with an iliac bone graft and external fixation after initial treatment failure.

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Area of Science:

  • Pediatric Orthopedics
  • Neurosurgery
  • Spinal Surgery

Background:

  • Acquired os odontoideum is a rare condition, often resulting from trauma.
  • Atlanto-axial instability can lead to significant neurological deficits.

Observation:

  • A 20-month-old child presented with symptoms following a fall, later diagnosed with acquired os odontoideum.
  • Diagnosis of atlanto-axial instability was delayed by 29 months, marked by repeated trauma and transient tetraparesis.

Findings:

  • Initial dorsal C1/2 fusion with a rib graft and plaster fixation was unsuccessful.
  • A subsequent surgery using an iliac bone graft and external fixation achieved solid fusion.

Implications:

  • This case highlights the diagnostic challenges in pediatric acquired os odontoideum.

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  • Effective surgical management requires careful consideration of graft material and fixation methods for atlanto-axial instability.