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CASE REPORT
Year : 2015  |  Volume : 2  |  Issue : 1  |  Page : 172-173

Occipito-thoracic fusion in incidental dystropic os odontoideum in a patient suspected with osteogenesis imperfecta: A case report


1 Neurological Surgery Resident Physician, Southern Integrated Neurological Surgery Training Program, Davao City, Philippines
2 Spine Surgery, Department of Orthopedics, Davao Doctors Hospital, Southern Integrated Neurological Surgery Training Program, Davao City, Philippines
3 Program Director, Department of Neurosurgery, Southern Integrated Neurological Surgery Training Program, Davao City, Philippines
4 Training Officer, Department of Neurosurgery, Southern Integrated Neurological Surgery Training Program, Davao City, Philippines

Correspondence Address:
P Reyes Rechilda Rhea
Neurological Surgery Resident Physician, Southern Philippines Integrated Neurological Surgery Training Program, Davao City
Philippines
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Source of Support: None, Conflict of Interest: None


DOI: 10.5530/ami.2015.1.31

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Introduction: Os odontoideum is a rare lesion of the axis. Described as an ossicle, consisting of smooth and separate caudal portions of the odontoid process wherein its etiology has remained controversial. Os odontoideum complicating a possible osteogenesis imperfecta has not been reported before in the literature. Methods: We report the case of a 14-yr male patient presented with progressive weakness of both lower and upper extremities after a head trauma 10 months prior to admission, which presented as transient quadreparesis. Results: Magnetic resonance imaging of cervical spine showing cervicomedullary junction compression. Patient underwent surgical intervention and 3 months post operation, patient was reported to have steady gait and muscle grading of 5/5 on all extremities. Conclusion: Surgical fixation and fusion in patients with instability may prevent catastrophic neurologic insult after minor trauma in the future.


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