Pyogenic spondylitis of the upper cervical spine with basilar invagination: A case report

Pyogenic spondylitis of upper cervical spine associated with basilar invagination is very rare condition. A 40-year-old man with severe occipital pain without neurological deficits presented with atlantoaxial rotatory subluxation with basilar invagination. The occipitocervical fixation was performed...

Full description

Bibliographic Details
Main Authors: Hisashi Serikyaku, Shoichiro Higa, Tetsuya Yara
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Interdisciplinary Neurosurgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214751923000634
Description
Summary:Pyogenic spondylitis of upper cervical spine associated with basilar invagination is very rare condition. A 40-year-old man with severe occipital pain without neurological deficits presented with atlantoaxial rotatory subluxation with basilar invagination. The occipitocervical fixation was performed after the reduction by pulling the head cranially and extending the neck using a three-point fixator in the prone position under fluoroscopically confirmation. No perioperative complications were observed and the symptoms rapidly improved. Surgery might be effective in pyogenic spondylitis of the upper cervical spine even in the absence of abnormal neurological findings but severe pain.
ISSN:2214-7519