scholarly journals Tumoral Calcinosis of the Cervical Spine Associated with a Pathologic Odontoid Fracture

2022 ◽  
Vol 2022 ◽  
pp. 1-6
Author(s):  
Andy Y. Wang ◽  
Joseph N. Tingen ◽  
Eric J. Mahoney ◽  
Ron I. Riesenburger
Keyword(s):  
Cervical Spine ◽  
Soft Tissues ◽  
Odontoid Fracture ◽  
Tumoral Calcinosis ◽  
Upper Cervical Spine ◽  
Occipitocervical Fusion ◽  
First Case ◽  
Pathologic Fractures ◽  
Upper Cervical ◽  
Calcium Deposits

Tumoral calcinosis involves focal calcium deposits in the soft tissues surrounding a joint and most commonly occurs in the hips and elbows, rarely in the cervical spine. Furthermore, it has not been known to be associated with pathologic fractures. To the best of our knowledge, our case report highlights the first case of a pathologic type II odontoid fracture associated with adjacent tumoral calcinosis, resulting in pain, dysphagia, and severe spinal stenosis. The patient underwent a posterior occipitocervical fusion and C1 laminectomy, along with planned tracheostomy and gastrostomy to avoid expected difficulty with postoperative extubation and dysphagia. Additionally, we present a review of existing literature on tumoral calcinosis in the upper cervical spine.

scholarly journals STABILIZATION OF OCCIPITOATLANTOAXIAL COMPLEX THROUGH POSTERIOR APPROACH

2005 ◽  
pp. 008-015
Author(s):  
Nikolay Alekseyevich Korzh ◽  
Aleksandr Evgenyevich Barysh
Keyword(s):  
Cervical Spine ◽  
Posterior Approach ◽  
Clinical Effectiveness ◽  
Upper Cervical Spine ◽  
Fixation Device ◽  
Occipitocervical Fusion ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Upper Cervical

A posterior occipitocervical fusion with a novel fixation device developed at Sytenko Institute for Spine and Joints Pathology and a technology of its application have been biomechanically substantiated. The analysis of surgeries in 6 patients with upper cervical spine injuries and disorders was performed. The results were assessed as excellent in 3 patients and good in 3 ones. Some criteria for comprehensive estimation of clinical effectiveness of surgeries performed were proposed.

scholarly journals Tumoral Calcinosis in the Upper Cervical Spine Causing Progressive Radiculomyelopathy. Case Report.

2001 ◽  
Vol 41 (8) ◽  
pp. 411-414 ◽  
Author(s):  
Koichiro MATSUKADO ◽  
Toshiyuki AMANO ◽  
Osamu ITOU ◽  
Fumiaki YUHI ◽  
Shinji NAGATA
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Tumoral Calcinosis ◽  
Upper Cervical Spine ◽  
Upper Cervical

scholarly journals Does isolated atlantoaxial fusion result in better clinical outcome compared to occipitocervical fusion?

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Katharina E. Wenning ◽  
Martin F. Hoffmann
Keyword(s):  
Cervical Spine ◽  
Clinical Outcome ◽  
Range Of Motion ◽  
Rating Scale ◽  
Neck Disability Index ◽  
Upper Cervical Spine ◽  
Occipitocervical Fusion ◽  
Atlantoaxial Fusion ◽  
Upper Cervical

Abstract Background The C0 to C2 region is the keystone for range of motion in the upper cervical spine. Posterior procedures usually include a fusion of at least one segment. Atlantoaxial fusion (AAF) only inhibits any motion in the C1/C2 segment whereas occipitocervical fusion (OCF) additionally interferes with the C0/C1 segment. The purpose of our study was to investigate clinical outcome of patients that underwent OCF or AAF for upper cervical spine injuries. Methods Over a 5-year period (2010–2015), consecutive patients with upper cervical spine disorders were retrospectively identified as having been treated with OCF or AAF. The Numeric Pain Rating Scale (NPRS) and the Neck Disability Index (NDI) were used to evaluate postoperative neck pain and health restrictions. Demographics, follow-up, and clinical outcome parameters were evaluated. Infection, hematoma, screw malpositioning, and deaths were used as complication variables. Follow-up was at least 6 months postoperatively. Results Ninety-six patients (male = 42, female = 54) underwent stabilization of the upper cervical spine. OCF was performed in 44 patients (45.8%), and 52 patients (54.2%) were treated with AAF. Patients with OCF were diagnosed with more comorbidities (p = 0.01). Follow-up was shorter in the OCF group compared to the AAF group (6.3 months and 14.3 months; p = 0.01). No differences were found related to infection (OCF 4.5%; AAF 7.7%) and revision rate (OCF 13.6%; AAF 17.3%; p > 0.05). Regarding bother and disability, no differences were discovered utilizing the NDI score (AAF 21.4%; OCF 37.4%; p > 0.05). A reduction of disability measured by the NDI was observed with greater follow-up for all patients (p = 0.01). Conclusion Theoretically, AAF provides greater range of motion by preserving the C0/C1 motion segment resulting in less disability. The current study did not show any significant differences regarding clinical outcome measured by the NDI compared to OCF. No differences were found regarding complication and infection rates in both groups. Both techniques provide a stable treatment with comparable clinical outcome.

scholarly journals Effect of occipitocervical fusion with screw-rod system for upper cervical spine tumor

BMC Surgery ◽  
2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Jun Zou ◽  
Chenxi Yuan ◽  
Ruofu Zhu ◽  
Zhiming Zhang ◽  
Weimin Jiang ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Upper Cervical Spine ◽  
Spine Tumor ◽  
Occipitocervical Fusion ◽  
Rod System ◽  
Upper Cervical ◽  
Cervical Spine Tumor

Report of an unusual upper cervical spine injury: Traumatic atlantoaxial rotatory subluxation with vertical odontoid fracture in a child

2013 ◽  
Vol 61 (2) ◽  
pp. 197 ◽  
Author(s):  
Mesut Mete ◽  
�lkün�nlü �nsal ◽  
YusufKurtulus Duransoy ◽  
Mustafa Barutçuoglu ◽  
Mehmet Selçuki
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Odontoid Fracture ◽  
Spine Injury ◽  
Upper Cervical Spine ◽  
Upper Cervical ◽  
Rotatory Subluxation ◽  
Upper Cervical Spine Injury

Navigated Anterior Approach to the Upper Cervical Spine After Occipitocervical Fusion

Spine ◽  
2009 ◽  
Vol 34 (22) ◽  
pp. E800-E805 ◽  
Author(s):  
Masashi Neo ◽  
Ryo Asato ◽  
Shunsuke Fujibayashi ◽  
Hiromu Ito ◽  
Mitsuru Takemoto ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Anterior Approach ◽  
Upper Cervical Spine ◽  
Occipitocervical Fusion ◽  
Upper Cervical

scholarly journals Prolonged Airway Obstruction after Posterior Occipitocervical Fusion: A Case Report and Literature Review

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Masahiro Morita ◽  
Masuhiro Nobuta ◽  
Hirotsune Naruse ◽  
Hiroaki Nakamura
Keyword(s):  
Radiation Therapy ◽  
Cervical Spine ◽  
Airway Obstruction ◽  
Spine Surgery ◽  
Metastatic Tumor ◽  
Upper Cervical Spine ◽  
Occipitocervical Fusion ◽  
Cervical Spine Surgery ◽  
Emergency Tracheostomy ◽  
Upper Cervical

The purpose of this paper was to inform the reader that prolonged upper airway obstruction after posterior cervical spine surgery is a possible complication for patients with metastatic tumor of upper cervical spine. A 49-year-old man presented severe neck pain during posture changes due to metastatic spinal tumor of C2. Occipitocervical fusion following removal of the posterior arch of C1 and laminectomy of C2 via the single posterior approach was performed 2 weeks after radiation therapy. After the surgery, life-threatening airway obstruction due to pharyngeal oedema occurred immediately after extubation that required emergency tracheostomy. The airway obstruction did not improve well during the patient's postoperative course. Once pharyngeal oedema occurs in patients with metastatic tumor of upper cervical spine who undergo posterior cervical spine surgery following radiation therapy to the neck, the pharyngeal oedema may be constant for a long period of time.

scholarly journals Cadaveric study of movement in the unstable upper cervical spine during emergency management: tracheal intubation and cervical spine immobilisation—a study protocol for a prospective randomised crossover trial

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e015307 ◽  
Author(s):  
Shiyao Liao ◽  
Erik Popp ◽  
Petra Hüttlin ◽  
Frank Weilbacher ◽  
Matthias Münzberg ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Emergency Management ◽  
Cervical Spine Injury ◽  
Human Motion ◽  
Odontoid Fracture ◽  
Spine Injury ◽  
Upper Cervical Spine ◽  
Type Ii ◽  
Upper Cervical ◽  
Upper Cervical Spine Injury

IntroductionEmergency management of upper cervical spine injuries often requires cervical spine immobilisation and some critical patients also require airway management. The movement of cervical spine created by tracheal intubation and cervical spine immobilisation can potentially exacerbate cervical spinal cord injury. However, the evidence that previous studies have provided remains unclear, due to lack of a direct measurement technique for dural sac's space during dynamic processes. Our study will use myelography method and a wireless human motion tracker to characterise and compare the change of dural sac's space during tracheal intubations and cervical spine immobilisation in the presence of unstable upper cervical spine injury such as atlanto-occipital dislocation or type II odontoid fracture.Methods and analysisPerform laryngoscopy and intubation, video laryngoscope intubation, laryngeal tube insertion, fiberoptic intubation and cervical collar application on cadaveric models of unstable upper cervical spine injury such as atlanto-occipital dislocation or type II odontoid fracture. The change of dural sac's space and the motion of unstable cervical segment are recorded by video fluoroscopy with previously performing myelography, which enables us to directly measure dural sac's space. Simultaneously, the whole cervical spine motion is recorded at a wireless human motion tracker. The maximum dural sac compression and the maximum angulation and distraction of the injured segment are measured by reviewing fluoroscopic and myelography images.Ethics and disseminationThis study protocol has been approved by the Ethics Committee of the State Medical Association Rhineland-Palatinate, Mainz, Germany. The results will be published in relevant emergency journals and presented at relevant conferences.Trial registration numberDRKS00010499.

Tumoral Calcinosis in the Upper Cervical Spine

Spine ◽  
1996 ◽  
Vol 21 (2) ◽  
pp. 249-252 ◽  
Author(s):  
Shoichi Kokubun ◽  
Hiroshi Ozawa ◽  
Minoru Sakurai ◽  
Yasuhisa Tanaka
Keyword(s):  
Cervical Spine ◽  
Tumoral Calcinosis ◽  
Upper Cervical Spine ◽  
Upper Cervical
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