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Surgical treatment for atlantooccipital osteoarthritis: a case report of two patients

Surgical treatment for atlantooccipital osteoarthritis: a case report of two patients,10.1007/s00586-010-1636-y,European Spine Journal,Hiroyuki Yoshih

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Surgical treatment for atlantooccipital osteoarthritis: a case report of two patients   (Citations: 2)
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Background/purpose  Although rarely discussed in the literature and difficult to evaluate on plain radiographs, atlantooccipital osteoarthritis can be a source of persistent suboccipital pain. Our objective in this report is to describe two cases with atlantooccipital (O–C1) osteoarthritis treated with posterior occipitocervical fusion. Methods and results  Two patients presented with unilateral suboccipital pain, which was refractory to conservative treatment. One patient suffered from long-standing rheumatoid arthritis while the other patient did not have pertinent medical issues. After non-diagnostic plain film imaging, CT scan demonstrated unilateral osteoarthritis of the atlantooccipital and atlantoaxial joint in both patients who subsequently underwent posterior O–C2 fusion with resolution of their preoperative symptoms. Conclusions  This is, to our knowledge, the first case report which specifically focused on surgical treatment of atlantooccipital osteoarthritis. Occipitocervical fusion is a treatment option for patients with atlantooccipital osteoarthritis when suboccipital pain is not responsive to conservative treatment.
Journal: European Spine Journal - EUR SPINE J , vol. 20, pp. 243-247, 2011
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