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Journal of Craniovertebral Junction and Spine
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CASE REPORT
Year : 2014  |  Volume : 5  |  Issue : 4  |  Page : 170-172

Occipitalized os odontoideum: A case report


Department of Orthopedic surgery, Yokohama Rosai Hospital, Yokohama, Japan

Correspondence Address:
Junich Ohya
Department of Orthopaedic surgery, Faculty of Medicine, The University of Tokyo, Hongo 7-3-1, Bunkyo-ku, Tokyo, 113-0033
Japan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-8237.147087

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We report on a 36-year-old man presenting with a sudden onset of motor weakness and numbness in the upper extremities following a fall from a truck bed. Radiological findings demonstrated an os odontoideum and osseous continuity between the occiput and an ossicle, termed an "occipitalized os odontoideum." The occipitalized ossicle and atlas moved as a functional unit from the body of the axis. He underwent atlantoasxial stabilization with an atlas lateral mass screw and axis pedicle screw. Eighteen months later, he remained free of symptoms and showed solid bone fusion. Atlantoaxial stabilization resulted in an excellent clinical outcome for this condition. Our report provides useful knowledge regarding treatment of extremely rare osseous anomalies in the craniovertebral junction.


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