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Odontoid osteomyelitis with atlantoaxial subluxation in an infant

Authors
 Hoon Park  ;  Hyung Kwon Byeon  ;  Hak-Sun Kim  ;  Jung Jun Hong  ;  Kyung-Soo Suk 
Citation
 EUROPEAN SPINE JOURNAL, Vol.26(Suppl. 1) : 136-140, 2017 
Journal Title
EUROPEAN SPINE JOURNAL
ISSN
 0940-6719 
Issue Date
2017
MeSH
Anti-Bacterial Agents/therapeutic use* ; Atlanto-Axial Joint/diagnostic imaging ; Atlanto-Axial Joint/surgery* ; Drainage ; Humans ; Immobilization/methods ; Infant ; Joint Dislocations/complications ; Joint Dislocations/diagnostic imaging ; Joint Dislocations/surgery* ; Magnetic Resonance Imaging ; Methicillin-Resistant Staphylococcus aureus ; Odontoid Process*/diagnostic imaging ; Osteomyelitis/complications ; Osteomyelitis/diagnostic imaging ; Osteomyelitis/therapy* ; Retropharyngeal Abscess/complications ; Retropharyngeal Abscess/diagnostic imaging ; Retropharyngeal Abscess/therapy* ; Staphylococcal Infections/complications ; Staphylococcal Infections/diagnostic imaging ; Staphylococcal Infections/therapy* ; Tomography, X-Ray Computed
Keywords
Atlantoaxial subluxation ; Odontoid ; Osteomyelitis ; Pediatrics ; Retropharyngeal abscess
Abstract
PURPOSE: To report a rare case of odontoid osteomyelitis with atlantoaxial subluxation in a 6-month-old infant.

BACKGROUND: Odontoid osteomyelitis with atlantoaxial subluxation is extremely rare in children. Although several cases have been reported, there have been no studies concerning proper surgical drainage and immobilization in this disease.

METHODS: A 6-month-old infant with odontoid osteomyelitis with atlantoaxial subluxation was surgically treated. The patient underwent a 3-month intravenous and oral antibiotic course and the Minerva body jacket cast was used for 3 months. Follow-up was carried out with computed tomographic scans and a cervical spine dynamogram.

RESULTS: At 18 months post-surgery, the patient had completely recovered with no cervical instability. Computed tomographic scans revealed complete fusion of odontoid synchondrosis. The infant remained asymptomatic with a full range of head movement.

CONCLUSION: Surgical drainage and proper immobilization appears to be a satisfactory treatment for pyogenic osteomyelitis of odontoid synchondrosis secondary to retropharyngeal abscess and atlantoaxial subluxation.
Full Text
https://link.springer.com/article/10.1007%2Fs00586-016-4919-0
DOI
10.1007/s00586-016-4919-0
Appears in Collections:
1. College of Medicine (의과대학) > Research Institute (부설연구소) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hak Sun(김학선) ORCID logo https://orcid.org/0000-0002-8330-4688
Park, Hoon(박훈) ORCID logo https://orcid.org/0000-0002-8063-3742
Byeon, Hyung Kwon(변형권)
Suk, Kyung Soo(석경수) ORCID logo https://orcid.org/0000-0003-0633-2658
Hong, Jung Jun(홍정준) ORCID logo https://orcid.org/0000-0003-1715-1190
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/154259
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