Odontoid process pathologic fracture in spinal tuberculosis.
Craniovertebral junction tuberculosis is a rare lesion in which treatment remains controversial. Options range from conservative treatment to surgery, independently of any associated neurological threat. We here report the first case of pathologic odontoid fracture in a context of spinal tuberculosis, complicated by unusual neurological evolution. The patient presented with non-contiguous multifocal tuberculosis, of which there have previously been only 6 reported cases.
Ould-Slimane
M
M
Service de chirurgie orthopédique, hôpital Beaujon, Assistance publique-Hôpitaux de Paris, université Paris-VII, 100, boulevard du Général-Leclerc, 92110 Clichy, France.
Lenoir
T
T
Dauzac
C
C
Breitel
D
D
Hoffmann
E
E
Guigui
P
P
Ilharreborde
B
B
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001174:Arthrodesis / Q000379:methods; D001915:Braces; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008279:Magnetic Resonance Imaging; D009809:Odontoid Process / Q000382:microbiology* / Q000601:surgery*; D016103:Spinal Fractures / Q000382:microbiology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014143:Traction; D014399:Tuberculosis, Spinal / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
D000995:Antitubercular Agents