![](/images/graphics-bg.png)
Atlantoaxial Subluxation after Pyogenic Spondylitis around the Odontoid Process
Joint Authors
Yagi, Mitsuru
Asazuma, Takashi
Hasegawa, Atsushi
Takemitsu, Masakazu
Machida, Masafumi
Ichimura, Shoichi
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-05-24
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Study Design.
A case report and review of the literature.
Objective.
The aim of this study was to describe the conservative management of pyogenic spondylitis around the odontoid process.
Summary of Background Data.
Atlantoaxial subluxation after pyogenic spondylitis is rare.
The therapeutic approach to infection of the upper cervical spine is controversial.
Methods.
Medical chart and radiological images of a 76-year-old male patient were retrospectively reviewed.
Radiography revealed atlantoaxial subluxation, and an abscess was seen around the odontoid process on magnetic resonance images.
Intravenous antibiotics and a halo vest were used to treat the patient.
We then observed the patient’s conservative treatment course.
Results.
C-reactive protein levels returned to normal 4 weeks after administration of the intravenous antibiotics.
The patient’s muscle weakness also completely recovered 8 weeks after administration of the intravenous antibiotics.
Because the patient was able to walk without any support, surgical treatment was not necessary.
Conclusions.
Pyogenic spondylitis of the upper cervical spine is a rare manifestation.
Surgical or conservative treatment must be selected carefully based on the patient’s symptoms.
If early diagnosis and treatment can be provided to the patients, conservative treatment can be achieved.
American Psychological Association (APA)
Hasegawa, Atsushi& Yagi, Mitsuru& Takemitsu, Masakazu& Machida, Masafumi& Asazuma, Takashi& Ichimura, Shoichi. 2015. Atlantoaxial Subluxation after Pyogenic Spondylitis around the Odontoid Process. Case Reports in Orthopedics،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059560
Modern Language Association (MLA)
Hasegawa, Atsushi…[et al.]. Atlantoaxial Subluxation after Pyogenic Spondylitis around the Odontoid Process. Case Reports in Orthopedics No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1059560
American Medical Association (AMA)
Hasegawa, Atsushi& Yagi, Mitsuru& Takemitsu, Masakazu& Machida, Masafumi& Asazuma, Takashi& Ichimura, Shoichi. Atlantoaxial Subluxation after Pyogenic Spondylitis around the Odontoid Process. Case Reports in Orthopedics. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059560
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059560