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CASE REPORTS
JOURNAL ARTICLE
Pyogenic osteomyelitis of the atlas: a case report.
Spine 2009 April 21
STUDY DESIGN: Case report.
OBJECTIVE: To document our experience with conservative treatment of vertebral osteomyelitis of the atlas.
SUMMARY OF BACKGROUND DATA: Although several investigators have reported osteomyelitis in the upper cervical region, most of them included the odontoid process. This is a very rare case of successful conservative treatment of osteomyelitis of the atlas.
METHODS: A 37-year-old man with pyogenic osteomyelitis caused by Streptococcus was treated conservatively. After needle biopsy, the patient underwent a 3-month antibiotic course administrated both intravenously and orally with a cervical orthosis for 4 months.
RESULTS: The patient was pain free with no neurologic deficit at the 24-month follow-up, and CT scan showed remodeling of the lesion of the atlas.
CONCLUSION: Conservative treatment of pyogenic osteomyelitis of the atlas with antibiotics and immobilization was shown to be sufficient in this case.
OBJECTIVE: To document our experience with conservative treatment of vertebral osteomyelitis of the atlas.
SUMMARY OF BACKGROUND DATA: Although several investigators have reported osteomyelitis in the upper cervical region, most of them included the odontoid process. This is a very rare case of successful conservative treatment of osteomyelitis of the atlas.
METHODS: A 37-year-old man with pyogenic osteomyelitis caused by Streptococcus was treated conservatively. After needle biopsy, the patient underwent a 3-month antibiotic course administrated both intravenously and orally with a cervical orthosis for 4 months.
RESULTS: The patient was pain free with no neurologic deficit at the 24-month follow-up, and CT scan showed remodeling of the lesion of the atlas.
CONCLUSION: Conservative treatment of pyogenic osteomyelitis of the atlas with antibiotics and immobilization was shown to be sufficient in this case.
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