Log in

Atlanto-axial dislocation due to ossiculum terminale persistens

Report of two cases treated by a new technique of posterior fusion

  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

Two cases of atlanto-axial dislocation due to ossiculum terminale of the odontoid process are reported. A new technique of posterior fusion with a Y-shaped plate is described. Embryological data, clinical features, and operative treatment of this unusual condition are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bret, Ph., Lecuire, J., Deruty, R., Mercier, Ph., Carlioz, P., IntérÊt de l'arthrodèse crânio-rachidienne par plaque vissée occipitovertébrale au cours des lésions instables du couple atlas-axis. Lyon Chir.75 (1979), 137–139.

    Google Scholar 

  2. Estridge, M. N., Smith, R. A., Transoral fusion of odontoid fracture. Case report. J. Neurosurg.27 (1967), 462–465.

    PubMed  Google Scholar 

  3. Fang, H. S. Y., Ong, G. B., Direct anterior approach to the upper cervical spine. J. Bone Jt Surg.44 A (1962), 1588–1604.

    Google Scholar 

  4. Ford, F. R., Syncope, vertigo and disturbances of vision resulting from intermittent obstruction of the vertebral arteries due to defect in the odontoid process and excessive mobility of the second cervical vertebra. Johns Hopk. Hosp. Bull.91 (1952), 168–173.

    Google Scholar 

  5. Graham, C. E., Humphry, P. S., The os odontoideum. A case report. Aust. Radiol.13/4 (1969), 380–382.

    Google Scholar 

  6. Greenberg, A. D., Scoville, W. B., Davey, L. M., Transoral decompression of atlanto-axial dislocation due to odontoid hypoplasia. Report of 2 cases. J. Neurosurg.28 (1968), 266–269.

    PubMed  Google Scholar 

  7. Greenberg, A. D., Atlanto-axial dislocations. Brain91 (1968), 655–684.

    PubMed  Google Scholar 

  8. Gros, C., Privat, J. M., Frerebeau, P., Bonnel, F., Bazin, M., Benezech, J., Arthrodèse du rachis sous-occipital par plaque occipito-cervicale vissée. Neurochirurgie21 (1975), 231–238.

    PubMed  Google Scholar 

  9. Kline, D. G., Atlanto-axial dislocation simulating a head injury; hypoplasia of the odontoid. J. Neurosurg.24 (1966), 1013–1016.

    PubMed  Google Scholar 

  10. Lamas, E., Estevez, J., Castillo, R., Esparza, J., Os odontoideum removed by a transoral approach. Surg. Neurol.7 (1977), 312–314.

    PubMed  Google Scholar 

  11. Mechler, J., Les manifestations de la vertèbre occipitale. Thèse Médecine Lyon 1971.

  12. Mitsumori, K., Saito, H., Motomiya, M., Yada, K., Transoral approach forthe treatment of atlanto-axial dislocation with the os odontoideum and obstruction of the bilateral vertebral arteries. Neurol. Surg.3 (1975), 589–591.

    Google Scholar 

  13. Nagashima, C., Atlanto-axial dislocation due to agenesis of the os odontoideum or odontoid. J. Neurosurg.33 (1970), 270–280.

    PubMed  Google Scholar 

  14. Nagashima, C., Surgical treatment of irreducible atlanto-axial dislocation with spinal cord compression. Case report. J. Neurosurg.38 (1973), 374–378.

    PubMed  Google Scholar 

  15. Ochidi, Y., Yamamoto, M., Takeshita, K., Arima, M., Myelopathy in infancy complicating congenital atlanto-axial dislocation. Amer. J. Dis. Child.130 (1976), 1270–1271.

    PubMed  Google Scholar 

  16. Ricciardi, J. E., Kaufer, H., Louis, D. S., Acquired os odontoideum following acute ligament injury. Report of a case. J. Bone Jt Surg.58 A (1976), 410–412.

    Google Scholar 

  17. Roberts, S. M., Congenital absence of the odontoid process resulting in dislocation of the atlas on the axis. J. Bone Jt Surg.15 (1933), 988–989.

    Google Scholar 

  18. Rougemont, de J., Abada, M., Barge, M., Les possibilités de la voie d'abord antérieure dans les lésions des trois premières vertèbres cervicales. Neurochirurgie12 (1966), 323–336.

    PubMed  Google Scholar 

  19. Vlahovitch, B., Bertrand, A., Fuentes, J. M., Brahin, B., Negre, G., Plaques d'ostéosynthèse occipito-vertébrale pour localisation métastatique haute du rachis cervical. Montpellier Chir.20 (1974), 455–458.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bret, P., Lecuire, J., Carlioz, P. et al. Atlanto-axial dislocation due to ossiculum terminale persistens. Acta neurochir 52, 105–112 (1980). https://doi.org/10.1007/BF01400954

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01400954

Keywords

Navigation