Yamane K, Nagashima H, Tanishima S, Teshima R
Department of Orthopedic Surgery, Tottori Red Cross Hospital, Tottori, 680-8517, Japan.
J Bone Joint Surg Br. 2010 Feb;92(2):286-8. doi: 10.1302/0301-620X.92B2.22984.
We present the case of an 83-year-old man who developed quadriparesis and respiratory embarrassment following osteomyelitis at the occipito-atlantoaxial junction. He had developed an abscess at this site after an earlier urinary infection with methicillin-resistant staphylococcus aureus. Stabilisation of the neck and antibiotic therapy led to an almost complete neurological recovery without recourse to anterior surgery.