■Os-齿状突是一种罕见的疾病,在影像学和临床上被描述为第二颈椎(轴)的先天性异常。它是一个光滑的,大小和形状可变的独立听骨与缩短的齿状突的基部隔开一个明显的间隙,与C2的身体没有骨连接。
■本研究回顾了OO的文献,以评估其病因,临床表现,鉴别诊断,成像模式,无症状和有症状OsOdontoideum病例的治疗结果。PubMed的重要文章,EMBASE,谷歌学者,科克伦也被搜查了.
■考虑到病因,根据最近关于OO的文献,创伤性假设优于先天性假设。临床表现从无症状到轻度颈部疼痛到严重的脊髓病和神经缺陷不等。各种C1-C2仪器和融合技术,如布线,已描述了经关节螺钉和椎板螺钉的成功率。
■齿状牙体是一种罕见的疾病,现有文献有限。考虑到如果保守的管理层选择会带来巨大的风险,比如严重的神经缺陷导致轻微创伤导致猝死,以及最近对成像工具的改进,有助于了解疾病的病理学,即使在偶然发现的齿状牙体中也可以进行手术。然而,根据年龄等因素,可以考虑对稳定的无症状患者进行逐案处理,活动水平,合并症,综合征协会,和射线照相结果。
UNASSIGNED: Os-odontoideum is a rare condition described radiographically and clinically as a congenital anomaly of the second cervical vertebra (axis). It is a smooth, independent ossicle of variable size and shape separated from the base of a shortened odontoid process by an obvious gap, with no osseous connection to the body of C2.
UNASSIGNED: This study reviewed the literature on OO to evaluate its etiology, clinical presentations, differential diagnosis, imaging modalities, and outcomes in the management of asymptomatic and symptomatic cases of Os Odontoideum. Key articles from PubMed, EMBASE, Google Scholar, and Cochrane were searched.
UNASSIGNED: Considering etiology, the traumatic hypothesis is favoured over the congenital hypothesis as per recent literature on OO. Clinical presentation varies from asymptomatic to mild neck pain to severe myelopathy and neurodeficit. Various C1-C2 instrumentation and fusion techniques like wiring, trans articular screw and laminar screws have been described with success rates.
UNASSIGNED: Os odontoideum is a rare condition with limited existing literature. Considering the significant risks involved if conservative management opts, like severe neuro deficit to sudden death on trivial trauma and the recent improvement of imaging tools helping to understand the pathology of the disease, surgery can be indicated even in an incidentally detected os odontoideum. However, a case-by-case approach can be considered for stable asymptomatic patients depending on factors such as age, activity level, comorbidities, syndromic association, and radiographic findings.