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Journal of Korean Neurosurgical Society 2006;39(3): 221-223.
Retro-odontoid Synovial Cyst with Os Odontoideum and Atlantoaxial Instability.
Sang Woo Kim, Chul Hoon Chang, Seong Ho Kim
Department of Neurosurgery, College of Medicine, Yeungnam University, Daegu, Korea. sw902@yumail.ac.kr
ABSTRACT
We report the case of a patient with a retro-odontoid synovial cyst, coupled with os odontoideum and atlantoaxial instability. We observed the regression of the cyst after C1-2 transarticular screw fixation and posterior wiring without direct surgical excision of the cyst on the follow-up MR images, which were obtained two and three months postoperatively. The myelopathic symptoms and signs of this patient were resolved by degrees.
Key Words: Synovial cyst; Os odontoideum; Atlantoaxial instability; C1-2 fixation; Spontaneous reduction
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