Park Hoon, Byeon Hyung Kwon, Kim Hak-Sun, Hong Jung Jun, Suk Kyung-Soo
Department of Orthopaedic Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Eonju-ro, Gangnam-gu, Seoul, 06273, Republic of Korea.
Department of Otorhinolaryngology, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Eonju-ro, Gangnam-gu, Seoul, 06273, Republic of Korea.
Eur Spine J. 2017 May;26(Suppl 1):136-140. doi: 10.1007/s00586-016-4919-0. Epub 2016 Dec 23.
To report a rare case of odontoid osteomyelitis with atlantoaxial subluxation in a 6-month-old infant.
Odontoid osteomyelitis with atlantoaxial subluxation is extremely rare in children. Although several cases have been reported, there have been no studies concerning proper surgical drainage and immobilization in this disease.
A 6-month-old infant with odontoid osteomyelitis with atlantoaxial subluxation was surgically treated. The patient underwent a 3-month intravenous and oral antibiotic course and the Minerva body jacket cast was used for 3 months. Follow-up was carried out with computed tomographic scans and a cervical spine dynamogram.
At 18 months post-surgery, the patient had completely recovered with no cervical instability. Computed tomographic scans revealed complete fusion of odontoid synchondrosis. The infant remained asymptomatic with a full range of head movement.
Surgical drainage and proper immobilization appears to be a satisfactory treatment for pyogenic osteomyelitis of odontoid synchondrosis secondary to retropharyngeal abscess and atlantoaxial subluxation.
N/A.
报告1例6个月大婴儿发生的伴有寰枢椎半脱位的齿突骨髓炎罕见病例。
伴有寰枢椎半脱位的齿突骨髓炎在儿童中极为罕见。尽管已有数例病例报告，但尚无关于该病适当外科引流和固定的研究。
对1例患有伴有寰枢椎半脱位的齿突骨髓炎的6个月大婴儿进行了手术治疗。该患者接受了为期3个月的静脉和口服抗生素疗程，并使用了密涅瓦支具背心固定3个月。通过计算机断层扫描和颈椎动力描记图进行随访。
术后18个月，患者已完全康复，无颈椎不稳。计算机断层扫描显示齿突软骨联合完全融合。该婴儿头部活动范围正常，无症状。
外科引流和适当固定似乎是治疗咽后脓肿继发的齿突软骨联合化脓性骨髓炎及寰枢椎半脱位的令人满意的方法。
无。
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