Pare M C, Currier B L, Ebersold M J
Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Neurosurgery. 1995 Sep;37(3):531-3; discussion 533-4. doi: 10.1227/00006123-199509000-00026.
The case of a 38-year-old man with delayed myelopathy 19 years after a nontreated odontoid type II fracture is reported. Magnetic resonance imaging of the craniocervical region revealed a periodontoid cicatrix. The clinical syndrome improved, and complete resolution of the retro-odontoid mass was achieved 9 months after posterior cervical fixation. The implications of this unique case for the management of myelopathy associated with nonunion of odontoid fractures are discussed.