Cervical myelopathy caused by pseudoarthrosis between the atlas and axis associated with diffuse idiopathic skeletal hyperostosis

Spine
S GotoH Moriya

Abstract

This is a report of a patient with severe cervical myelopathy due to pseudoarthrosis between the posterior tubercle of the atlas and the spinous process of the axis, associated with diffuse idiopathic skeletal hyperostosis. Radiographs of 170 patients with neck pain were reviewed to identify lesions involving abnormal contact between the atlas and axis. Based on an analysis of 170 radiographs, the prevalence of the reported condition was estimated. A number of histologic studies on pseudoarthrosis involving the lumbar spine have been reported. In contrast, lesions between the posterior tubercle of the atlas and the spinous process of the axis have not been reported in association with cervical myelopathy. Clinical and pathologic features of a patient with pseudoarthrosis between the posterior tubercle of the atlas and the spinous process of the axis were investigated. Radiographs of 170 Japanese patients over 40 years old were examined, and abnormal contact between the atlas and axis was classified into two groups based on the degree of spinal hyperostosis. Of 170 patients, 53 showed abnormal contact between the atlas and axis. The prevalence of abnormalities in the pronounced hyperostosis group (Forestier's stages II and III) ...Continue Reading

Citations

Aug 11, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Qunfeng GuoJian Yang
Jan 22, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Peter G PassiasShenglin Wang
Jul 17, 2003·Spine·S Rajasekaran, Yogesh K Pithwa
Jul 18, 2006·Spine·Hugues Pascal-MoussellardDidier Smadja
Oct 30, 2010·Neurologia Medico-chirurgica·Shinichiro KoizumiHiroki Namba
Nov 27, 2002·Journal of Neurosurgery·Naresh P PatelJ Patrick Johnson
Jan 28, 2003·Journal of Neurosurgery·Katsumi HarimayaYoshiharu Takemitsu
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Oct 16, 2016·Journal of Neurosurgery. Spine·Abolfazl RahimizadehAva Rahimizadeh
May 3, 2019·Irish Veterinary Journal·Ricardo FernandesColin J Driver
Nov 14, 2002·Seminars in Arthritis and Rheumatism·Reuven Mader

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