Resolution of traumatic hypertrophic periodontoid cicatrix after posterior cervical fusion: case report.
The case of a 38-year-old man with delayed myelopathy 19 years after a nontreated odontoid type II fracture is reported. Magnetic resonance imaging of the craniocervical region revealed a periodontoid cicatrix. The clinical syndrome improved, and complete resolution of the retro-odontoid mass was achieved 9 months after posterior cervical fixation. The implications of this unique case for the management of myelopathy associated with nonunion of odontoid fractures are discussed.
Pare
M C
MC
Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Currier
B L
BL
Ebersold
M J
MJ
D000328:Adult; D016025:Bone Transplantation; D017439:Cicatrix, Hypertrophic / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D009460:Neurologic Examination; D009809:Odontoid Process / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D013117:Spinal Cord Compression / Q000175:diagnosis / Q000601:surgery*; D016103:Spinal Fractures / Q000175:diagnosis / Q000601:surgery*; D013123:Spinal Fusion