Successful Treatment of Atlantoaxial Subluxation in an Adolescent Patient with BrachytelephalangicChondrodysplasia Punctata
Brachytelephalangic chondrodysplasia punctata (CDPX1) is characterized by brachytelephalangy and nasomaxillary hypoplasia, in addition to stippled epiphyses. Some reports have described infants with CDPX1 who exhibited cervical spinal stenosis. However, the natural course of cervical spinal lesions...
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Language: | English |
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Wiley
2019-01-01
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Series: | Case Reports in Orthopedics |
Online Access: | http://dx.doi.org/10.1155/2019/5974281 |
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author | Yoh Fujimoto Yuki Taniguchi Yasushi Oshima Yoshitaka Matsubayashi Keita Okada Nobuhiko Haga Sakae Tanaka |
author_facet | Yoh Fujimoto Yuki Taniguchi Yasushi Oshima Yoshitaka Matsubayashi Keita Okada Nobuhiko Haga Sakae Tanaka |
author_sort | Yoh Fujimoto |
collection | DOAJ |
description | Brachytelephalangic chondrodysplasia punctata (CDPX1) is characterized by brachytelephalangy and nasomaxillary hypoplasia, in addition to stippled epiphyses. Some reports have described infants with CDPX1 who exhibited cervical spinal stenosis. However, the natural course of cervical spinal lesions in this condition has not been elucidated. Here, we report a very rare adolescent case of CDPX1, which demonstrated progressive myelopathy caused by atlantoaxial subluxation and a subsequent retroodontoid pseudotumor, successfully treated with surgery. Our case highlights a new clinically important fact that upper cervical spinal lesions in CDPX1 can deteriorate even after childhood and thus need close monitoring. |
format | Article |
id | doaj-art-f0e3422c247b484b95982cc606a07c11 |
institution | Kabale University |
issn | 2090-6749 2090-6757 |
language | English |
publishDate | 2019-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Orthopedics |
spelling | doaj-art-f0e3422c247b484b95982cc606a07c112025-02-03T07:23:48ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/59742815974281Successful Treatment of Atlantoaxial Subluxation in an Adolescent Patient with BrachytelephalangicChondrodysplasia PunctataYoh Fujimoto0Yuki Taniguchi1Yasushi Oshima2Yoshitaka Matsubayashi3Keita Okada4Nobuhiko Haga5Sakae Tanaka6Department of Orthopedic Surgery, The University of Tokyo Hospital, Tokyo, JapanDepartment of Orthopedic Surgery, The University of Tokyo Hospital, Tokyo, JapanDepartment of Orthopedic Surgery, The University of Tokyo Hospital, Tokyo, JapanDepartment of Orthopedic Surgery, The University of Tokyo Hospital, Tokyo, JapanDepartment of Orthopedic Surgery, The University of Tokyo Hospital, Tokyo, JapanDepartment of Rehabilitation Medicine, The University of Tokyo Hospital, Tokyo, JapanDepartment of Orthopedic Surgery, The University of Tokyo Hospital, Tokyo, JapanBrachytelephalangic chondrodysplasia punctata (CDPX1) is characterized by brachytelephalangy and nasomaxillary hypoplasia, in addition to stippled epiphyses. Some reports have described infants with CDPX1 who exhibited cervical spinal stenosis. However, the natural course of cervical spinal lesions in this condition has not been elucidated. Here, we report a very rare adolescent case of CDPX1, which demonstrated progressive myelopathy caused by atlantoaxial subluxation and a subsequent retroodontoid pseudotumor, successfully treated with surgery. Our case highlights a new clinically important fact that upper cervical spinal lesions in CDPX1 can deteriorate even after childhood and thus need close monitoring.http://dx.doi.org/10.1155/2019/5974281 |
spellingShingle | Yoh Fujimoto Yuki Taniguchi Yasushi Oshima Yoshitaka Matsubayashi Keita Okada Nobuhiko Haga Sakae Tanaka Successful Treatment of Atlantoaxial Subluxation in an Adolescent Patient with BrachytelephalangicChondrodysplasia Punctata Case Reports in Orthopedics |
title | Successful Treatment of Atlantoaxial Subluxation in an Adolescent Patient with BrachytelephalangicChondrodysplasia Punctata |
title_full | Successful Treatment of Atlantoaxial Subluxation in an Adolescent Patient with BrachytelephalangicChondrodysplasia Punctata |
title_fullStr | Successful Treatment of Atlantoaxial Subluxation in an Adolescent Patient with BrachytelephalangicChondrodysplasia Punctata |
title_full_unstemmed | Successful Treatment of Atlantoaxial Subluxation in an Adolescent Patient with BrachytelephalangicChondrodysplasia Punctata |
title_short | Successful Treatment of Atlantoaxial Subluxation in an Adolescent Patient with BrachytelephalangicChondrodysplasia Punctata |
title_sort | successful treatment of atlantoaxial subluxation in an adolescent patient with brachytelephalangicchondrodysplasia punctata |
url | http://dx.doi.org/10.1155/2019/5974281 |
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