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...

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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
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author Hisashi Serikyaku
Shoichiro Higa
Tetsuya Yara
author_facet Hisashi Serikyaku
Shoichiro Higa
Tetsuya Yara
author_sort Hisashi Serikyaku
collection DOAJ
description 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.
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spelling doaj.art-c224dea636a542ec81162b4719bfbfcb2023-06-15T04:56:17ZengElsevierInterdisciplinary Neurosurgery2214-75192023-09-0133101780Pyogenic spondylitis of the upper cervical spine with basilar invagination: A case reportHisashi Serikyaku0Shoichiro Higa1Tetsuya Yara2Corresponding author at: Department of Orthopaedic Surgery, Naha City Hospital, 2-31-1 Furujima, Naha city, Okinawa 902-8511, Japan.; Department of Orthopedic Surgery, Naha City Hospital, Okinawa, JapanDepartment of Orthopedic Surgery, Naha City Hospital, Okinawa, JapanDepartment of Orthopedic Surgery, Naha City Hospital, Okinawa, JapanPyogenic 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.http://www.sciencedirect.com/science/article/pii/S2214751923000634Basilar invaginationPyogenic spondylitisOsteomyelitisUpper cervical spineOccipital pain
spellingShingle Hisashi Serikyaku
Shoichiro Higa
Tetsuya Yara
Pyogenic spondylitis of the upper cervical spine with basilar invagination: A case report
Interdisciplinary Neurosurgery
Basilar invagination
Pyogenic spondylitis
Osteomyelitis
Upper cervical spine
Occipital pain
title Pyogenic spondylitis of the upper cervical spine with basilar invagination: A case report
title_full Pyogenic spondylitis of the upper cervical spine with basilar invagination: A case report
title_fullStr Pyogenic spondylitis of the upper cervical spine with basilar invagination: A case report
title_full_unstemmed Pyogenic spondylitis of the upper cervical spine with basilar invagination: A case report
title_short Pyogenic spondylitis of the upper cervical spine with basilar invagination: A case report
title_sort pyogenic spondylitis of the upper cervical spine with basilar invagination a case report
topic Basilar invagination
Pyogenic spondylitis
Osteomyelitis
Upper cervical spine
Occipital pain
url http://www.sciencedirect.com/science/article/pii/S2214751923000634
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