Cervical myelopathy due to ossification of the transverse atlantal ligament: A Caucasian case report operated on and literature analysis.

Luca Proietti, Laura Scaramuzzo, Sergio Sessa, Carlo Ambrogio Logroscino

Risultato della ricerca: Contributo in rivistaArticolo in rivista

3 Citazioni (Scopus)

Abstract

One case of cervical myelopathy associated to ossification of transverse atlantal ligament (OTAL) and C1 posterior arch hypoplasia in a Caucasian adult female is reported. A 53-year-old female affected by cervical myelopathy was treated with C1 laminectomy and posterior arthrodesis. CT scan demonstrated that the distance between ossification of the ligament and anterior cortex of the posterior arch of atlas was 6,2 mm leading to consistent space reduction for spinal cord at this level. Patient underwent spinal cord decompression and fixation with C1 poliaxial screws in lateral masses and two bilateral crossing C2 laminar screws with an improvement of neurological functions at 4-years follow-up. The association between OTAL and C1 hypoplasia was reported in very few cases. The treatment with C1 laminectomy without fusion is reported in medical literature with good clinical outcome. Our patient obtained a neurological improvement at midterm follow-up with spinal cord decompression and fusion.
Lingua originaleEnglish
pagine (da-a)470-474
Numero di pagine5
RivistaORTHOPAEDICS & TRAUMATOLOGY: SURGERY & RESEARCH
Stato di pubblicazionePubblicato - 2012

Keywords

  • C1 hypoplasia
  • C1-C2 fixation
  • Cervical myelophaty
  • Ossification
  • Transverse atlantal ligament

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