alexa Atlantoaxial instability associated with an orthotopic os odontoideum: a multimodality imaging assessment.
Neurology

Neurology

Journal of Spine

Author(s): Vargas TM, Rybicki FJ, Ledbetter SM, MacKenzie JD

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Abstract Radiography, computed tomography (CT), and magnetic resonance imaging exams of the cervical spine were performed in a 29-year-old man who was ultimately diagnosed with an orthotopic os odontoideum during admission for injuries sustained in a motor vehicle collision. Initial radiography suggested either os odontoideum or an acute fracture of the dens. Further imaging with CT and flexion and extension radiographs confirmed os odontoideum and excluded a dens fracture. Although rare, os odontoideum is an important cervical spine anomaly to consider and to distinguish from an acute fracture of the dens. This article was published in Emerg Radiol and referenced in Journal of Spine

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