Osteoradionecrosis of the occipitocervical junction: A rare case of C1 anterior arch disruption
We report the case of a 57-year-old man who developed osteoradionecrosis (ORN) at the occipitocervical (OC) junction after radiation therapy for nasopharyngeal carcinoma. During soft-tissue debridement using a nasopharyngeal endoscope, the anterior arch of the atlas (AAA) was spontaneously disrupted...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
|
| Series: | Journal of Craniovertebral Junction and Spine |
| Subjects: | |
| Online Access: | http://www.jcvjs.com/article.asp?issn=0974-8237;year=2023;volume=14;issue=1;spage=93;epage=96;aulast=Sakamoto |
| _version_ | 1797866450626543616 |
|---|---|
| author | Masaki Sakamoto Takayoshi Shimizu Atsushi Suehiro Shuichi Matsuda |
| author_facet | Masaki Sakamoto Takayoshi Shimizu Atsushi Suehiro Shuichi Matsuda |
| author_sort | Masaki Sakamoto |
| collection | DOAJ |
| description | We report the case of a 57-year-old man who developed osteoradionecrosis (ORN) at the occipitocervical (OC) junction after radiation therapy for nasopharyngeal carcinoma. During soft-tissue debridement using a nasopharyngeal endoscope, the anterior arch of the atlas (AAA) was spontaneously disrupted, which was later spat out. Radiographic examination revealed complete disruption of the AAA that caused OC instability. We performed posterior OC fixation. The patient experienced successful postoperative pain relief. AAA disruption secondary to ORN at OC junction can cause severe instability. Posterior OC fixation alone may be an effective procedure if the necrotic pharyngeal region is mild and endoscopically controllable. |
| first_indexed | 2024-04-09T23:25:23Z |
| format | Article |
| id | doaj.art-a190a3a7abaf44a78e2c29f07c65c9d6 |
| institution | Directory Open Access Journal |
| issn | 0974-8237 |
| language | English |
| last_indexed | 2024-04-09T23:25:23Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Craniovertebral Junction and Spine |
| spelling | doaj.art-a190a3a7abaf44a78e2c29f07c65c9d62023-03-21T11:12:17ZengWolters Kluwer Medknow PublicationsJournal of Craniovertebral Junction and Spine0974-82372023-01-01141939610.4103/jcvjs.jcvjs_145_22Osteoradionecrosis of the occipitocervical junction: A rare case of C1 anterior arch disruptionMasaki SakamotoTakayoshi ShimizuAtsushi SuehiroShuichi MatsudaWe report the case of a 57-year-old man who developed osteoradionecrosis (ORN) at the occipitocervical (OC) junction after radiation therapy for nasopharyngeal carcinoma. During soft-tissue debridement using a nasopharyngeal endoscope, the anterior arch of the atlas (AAA) was spontaneously disrupted, which was later spat out. Radiographic examination revealed complete disruption of the AAA that caused OC instability. We performed posterior OC fixation. The patient experienced successful postoperative pain relief. AAA disruption secondary to ORN at OC junction can cause severe instability. Posterior OC fixation alone may be an effective procedure if the necrotic pharyngeal region is mild and endoscopically controllable.http://www.jcvjs.com/article.asp?issn=0974-8237;year=2023;volume=14;issue=1;spage=93;epage=96;aulast=Sakamotoanterior archoccipitocervicalosteoradionecrosisposterior fixation |
| spellingShingle | Masaki Sakamoto Takayoshi Shimizu Atsushi Suehiro Shuichi Matsuda Osteoradionecrosis of the occipitocervical junction: A rare case of C1 anterior arch disruption Journal of Craniovertebral Junction and Spine anterior arch occipitocervical osteoradionecrosis posterior fixation |
| title | Osteoradionecrosis of the occipitocervical junction: A rare case of C1 anterior arch disruption |
| title_full | Osteoradionecrosis of the occipitocervical junction: A rare case of C1 anterior arch disruption |
| title_fullStr | Osteoradionecrosis of the occipitocervical junction: A rare case of C1 anterior arch disruption |
| title_full_unstemmed | Osteoradionecrosis of the occipitocervical junction: A rare case of C1 anterior arch disruption |
| title_short | Osteoradionecrosis of the occipitocervical junction: A rare case of C1 anterior arch disruption |
| title_sort | osteoradionecrosis of the occipitocervical junction a rare case of c1 anterior arch disruption |
| topic | anterior arch occipitocervical osteoradionecrosis posterior fixation |
| url | http://www.jcvjs.com/article.asp?issn=0974-8237;year=2023;volume=14;issue=1;spage=93;epage=96;aulast=Sakamoto |
| work_keys_str_mv | AT masakisakamoto osteoradionecrosisoftheoccipitocervicaljunctionararecaseofc1anteriorarchdisruption AT takayoshishimizu osteoradionecrosisoftheoccipitocervicaljunctionararecaseofc1anteriorarchdisruption AT atsushisuehiro osteoradionecrosisoftheoccipitocervicaljunctionararecaseofc1anteriorarchdisruption AT shuichimatsuda osteoradionecrosisoftheoccipitocervicaljunctionararecaseofc1anteriorarchdisruption |