Document Detail


Cervical myelopathy caused by anomalies at the level of atlas.
MedLine Citation:
PMID:  20075771     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Case report. OBJECTIVE: To report a case of cervical myelopathy due to simultaneous anomalies at the level of atlas involving hypoplasia of the posterior arch of the atlas, partial ossification of the transverse atlantal ligament, and hypertrophy of the dens. SUMMARY OF BACKGROUND DATA: Hypoplasia of the posterior arch of the atlas, ossification of the transverse atlantal ligament, and hypertrophy of the dens are all individually very rare clinical entities. We are not aware of previous reports describing the association of hypoplasia of the posterior arch of the atlas, partial ossification of the transverse atlantal ligament, and hypertrophy of the dens. METHODS: The patient's medical history, physical examination, and radiographic evaluation are examined. Surgical treatment and clinical outcome are reported. In addition, available literature is also reviewed. RESULTS: The patient's neurologic symptoms significantly improved after posterior decompressive surgery. CONCLUSION: We believe this is the first case of cervical myelopathy caused by simultaneous anomalies at the level of atlas involving hypoplasia of the posterior arch of the atlas, partial ossification of the transverse atlantal ligament, and hypertrophy of the dens. Surgical intervention improved the neurologic impairment.
Authors:
Jia-Guang Tang; Shu-xun Hou; Wei-Lin Shang; Wen-Wen Wu
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Spine     Volume:  35     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-01     Completed Date:  2010-09-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E77-9     Citation Subset:  IM    
Affiliation:
From the Institute of Orthopedics, the First Affiliated Hospital of the General Hospital of PLA, Beijing, People's Republic of China. jiaguangtang@yahoo.com.cn
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MeSH Terms
Descriptor/Qualifier:
Cervical Atlas / abnormalities*,  radiography*
Female
Humans
Middle Aged
Spinal Cord Diseases / etiology,  radiography*,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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