Severe rotational deformity, quadriparesis and respiratory embarrassment due to osteomyelitis at the occipito-atlantoaxial junction

K. Yamane; H. Nagashima; S. Tanishima; R. Teshima

doi:10.1302/0301-620X.92B2.22984

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Severe rotational deformity, quadriparesis and respiratory embarrassment due to osteomyelitis at the occipito-atlantoaxial junction

K. Yamane
H. Nagashima
S. Tanishima
R. Teshima

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Severe rotational deformity, quadriparesis and respiratory embarrassment due to osteomyelitis at the occipito-atlantoaxial junction

Yamane K, Nagashima H, Tanishima S, Teshima R. Severe rotational deformity, quadriparesis and respiratory embarrassment due to osteomyelitis at the occipito-atlantoaxial junction. J Bone Joint Surg Br. 2010;92-B(2):286-288. doi:10.1302/0301-620X.92B2.22984

Yamane, K., et al. “Severe rotational deformity, quadriparesis and respiratory embarrassment due to osteomyelitis at the occipito-atlantoaxial junction.” The Journal of Bone & Joint Surgery British Volume, vol. 92-B, no. 2, 2010, pp. 286-288., https://doi.org/10.1302/0301-620X.92B2.22984

Yamane, K., Nagashima, H., Tanishima, S., & Teshima, R. (2010). Severe rotational deformity, quadriparesis and respiratory embarrassment due to osteomyelitis at the occipito-atlantoaxial junction. The Journal of Bone & Joint Surgery British Volume, 92-B(2), 286-288. https://doi.org/10.1302/0301-620X.92B2.22984

Yamane, K., Nagashima, H., Tanishima, S. and Teshima, R. (2010) “Severe rotational deformity, quadriparesis and respiratory embarrassment due to osteomyelitis at the occipito-atlantoaxial junction.” The Journal of Bone & Joint Surgery British Volume, 92-B(2), pp. 286-288. Available at: https://doi.org/10.1302/0301-620X.92B2.22984

Yamane, K., H. Nagashima, S. Tanishima, and R. Teshima. “Severe rotational deformity, quadriparesis and respiratory embarrassment due to osteomyelitis at the occipito-atlantoaxial junction.” The Journal of Bone & Joint Surgery British Volume 92-B, no. 2 (2010): 286-288. https://doi.org/10.1302/0301-620X.92B2.22984

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Abstract

We present the case of an 83-year-old man who developed quadriparesis and respiratory embarrassment following osteomyelitis at the occipito-atlantoaxial junction. He had developed an abscess at this site after an earlier urinary infection with methicillin-resistant staphylococcus aureus. Stabilisation of the neck and antibiotic therapy led to an almost complete neurological recovery without recourse to anterior surgery.

Correspondence should be sent to Dr H. Nagashima; e-mail: hidekin@med.tottori-u.ac.jp

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