A novel operative technique to manage a symptomatic synovial cyst associated with an os odontoideum.
Synovial cysts in association with an os odontoideum are rare. All previous cases have been treated via a posterior approach with good results. The authors present a patient with a synovial cyst in association with an os odontoideum and discuss a planned two-stage procedure to excise the cyst via a neuronavigation-assisted transoral-transpharyngeal approach, followed by a posterior C1/2 fixation.
Kirk
Heather J
HJ
Department of Neurosurgery, The Canberra Hospital, Garran, Canberra, Australian Capital Territory, Australia.
Pik
Justin H T
JH
D000368:Aged; D001268:Atlanto-Axial Joint / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001863:Bone Screws; D016025:Bone Transplantation / Q000379:methods; D019299:Decompression, Surgical / Q000379:methods; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009055:Mouth / Q000033:anatomy & histology / Q000601:surgery; D019547:Neck Pain / Q000209:etiology; D038361:Neuronavigation / Q000379:methods; D019635:Neurosurgical Procedures / Q000379:methods*; D009809:Odontoid Process / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D010292:Paresthesia / Q000209:etiology; D010614:Pharynx / Q000033:anatomy & histology / Q000601:surgery; D013115:Spinal Canal / Q000000981:diagnostic imaging / Q000473:pathology; D013117:Spinal Cord Compression / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology; D013123:Spinal Fusion / Q000295:instrumentation / Q000379:methods; D013581:Synovial Cyst / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome