Fatal instability following "odontoid sparing" transoral decompression of a periodontoid pseudotumour.


Journal Article

Pseudotumour of the craniovertebral junction is an uncommon cause of high cervical myelopathy in the elderly. The anterior transoral approach is the preferred means of accessing these lesions. An "odontoid sparing" transoral approach, in which there is only minimal bone removal, is thought to preserve stability of the craniovertebral junction, obviating the need for posterior stabilisation. This report is of an 82 year old man who developed fatal atlanto-axial instability following an odontoid sparing transoral resection of a pseudotumour. This complication has not previously been described and its occurrence has important implications for the surgical management of this condition.

Full Text

Cited Authors

  • Edwards, RJ; Britz, GW; Johnston, FG

Published Date

  • December 2002

Published In

Volume / Issue

  • 73 / 6

Start / End Page

  • 756 - 758

PubMed ID

  • 12438485

Pubmed Central ID

  • 12438485

Electronic International Standard Serial Number (EISSN)

  • 1468-330X

International Standard Serial Number (ISSN)

  • 0022-3050

Digital Object Identifier (DOI)

  • 10.1136/jnnp.73.6.756


  • eng