Osteoid osteoma of the odontoid process of the axis associated with atlanto-axial fusion

Al‐Balas, Hassan; Omari, Hamzi; Mustafa, Ali; Matalka, Ismail

doi:10.1259/bjr/55010187

Cited by 2 publications

(4 citation statements)

References 10 publications

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“…Neck pain was the most frequent symptom, which was present in up to 94% of cases and was associated with neck stiffness and functional torticollis in 4 (23.5%) and 5 (29.4%) cases, according to available data, respectively [ 1 , 2 , 3 , 5 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…As regards the surgical approach, several surgical techniques have been described to remove C2 OOs. These include both posterior (hemilaminectomy, laminectomy, or laminoplasty), anterior, and antero-lateral approaches [ 1 , 2 , 3 , 5 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ]. The choice of the surgical approach mostly relies upon the OO location.…”

Section: Discussionmentioning

confidence: 99%

“…The choice of the surgical approach mostly relies upon the OO location. Anterior and antero-lateral approaches to the cervical spine represented the most used surgical route for treating C2 OOs, with 9 out of 15 (60%) surgically treated cases [ 9 , 12 , 13 , 14 , 16 , 17 , 18 , 19 ]. Among these cases, only 3 were managed through an endoscope-assisted approach [ 16 , 17 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

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Transnasal Endoscopic Approach for Osteoid Osteoma of the Odontoid Process in a Child: Technical Note and Systematic Review of the Literature

et al. 2022

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Osteoid osteoma (OO) is a primary benign tumor that accounts for up to 3% of all bone tumors. The cervical spine is less affected by OOs, and very few cases of C2 OOs have been reported in the literature, both in adults and children. Surgery may be required in case of functional torticollis, stiffness, and reduced range of motion (ROM) due to cervical OOs refractory to medical therapy. Several posterior and anterior surgical techniques have been described to remove C2 OOs. In particular, anterior approaches to the cervical spine represent the most used surgical route for treating C2 OOs. We describe the first case of OO of the odontoid process removed through a transnasal endoscopic approach with the aid of neuronavigation in a 6-year-old child. No intraoperative complications occurred, and the post-operative course was uneventful. The patient had immediate relief of neck pain and remained pain-free throughout the follow-up period, with complete functional recovery of the neck range of motion (ROM). In this case, based on the favorable anatomy, the transnasal endoscopic approach represented a valuable strategy for the complete removal of an anterior C2 OO without the need for further vertebral fixation since the preservation of ligaments and paravertebral soft tissue.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Transnasal Endoscopic Approach for Osteoid Osteoma of the Odontoid Process in a Child: Technical Note and Systematic Review of the Literature

et al. 2022

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“…The spine is involved in 10% of the cases, and the lumbar spine is the most commonly affected whereas the tumor is rarely seen in cervical spine [ 7 ]. With regard to the osteoid osteoma being located at the odontoid process of the axis, limited cases have been reported in the literature [ 8 , 9 ]. Herein, we report an osteoid osteoma of the dens axis confirmed by radiographic examinations.…”

Section: Introductionmentioning

confidence: 99%

Conservative treatment for osteoid osteoma of the odontoid process of the axis: a case report

Qiao

Zhu

et al. 2014

World J Surg Onc

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BackgroundOsteoid osteoma is a primary benign bone lesion, which constitutes about 10% of all primary benign bone tumors and 3% of all primary bone tumors. The spine is involved in 10% of the cases, and the lumbar spine is the most commonly affected whereas the tumor is rarely seen in the cervical spine. With regard to the osteoid osteoma being located at the odontoid process of the axis, limited cases have been reported in the literature.Case presentationAn osteoid osteoma of the odontoid process of the axis was diagnosed by computed tomography in an 18-year-old male patient with a 3-month history of pain. The patient’s parents refused surgery for fear of surgical risks and high expense. Considering the benign nature of osteoid osteoma, we prescribed celecoxib 200 mg per day to the patient. With the treatment, the patient’s pain was alleviated gradually and the range of motion of the cervical spine also recovered to normal. At the two-year phone follow-up, the patient was free of symptoms.ConclusionsFor this kind of benign tumor, conservative treatment plus close follow-up is applicable whereas surgery bears significant risks and a heavy economic burden.

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Osteoid osteoma of the odontoid process of the axis associated with atlanto-axial fusion

Cited by 2 publications

References 10 publications

Transnasal Endoscopic Approach for Osteoid Osteoma of the Odontoid Process in a Child: Technical Note and Systematic Review of the Literature

Transnasal Endoscopic Approach for Osteoid Osteoma of the Odontoid Process in a Child: Technical Note and Systematic Review of the Literature

Conservative treatment for osteoid osteoma of the odontoid process of the axis: a case report

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