The Journal of Emergency Medicine
Volume 24, Issue 1 , Pages 15-18 , January 2003

Odontoid hypoplasia presenting as torticollis: a discussion of its significance1

  • Robert R Westermeyer, MD

      Affiliations

    • Emergency Medicine Services, 121st General Hospital, Yongsan Army Garrison, Seoul, Republic of South Korea
    • Department of Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, Texas, USA
    • Corresponding Author InformationReprint Address: Robert Westermeyer, MD, Department of Emergency Medicine, Brooke Army Medical Center, Rodger Brooke Rd., Fort Sam Houston, TX 78234, USA

Received 7 August 2001 ,Revised 6 March 2002 ,Accepted 2 April 2002.

References 

  1. Hensinger RN, Fielding JW, Hawkins RS. Congenital anomalies of the odontoid process. Orthop Clin North Am. 1978;9:901–911
  2. Shohat M, Lachman R, Rimoin DL. Odontoid hypoplasia with vertebral cervical subluxation and ventriculomegaly in metatropic dysplasia. J Pediatr. 1989;114:239–243
  3. Hensinger RN. Osseous anomalies of the craniovertebral junction. Spine. 1986;11:323–333
  4. Menezes AH. Congenital and acquired abnormalities of the craniovertebral junction. In:  Youmans JR editors. Neurological surgery. 4th ed. Philadelphia: Saunders; 1996;p. 1035–1089
  5. Turek SL. Cervical spine. In:  Turek SL editors. Orthopaedics principles and their application. 4th ed. Philadelphia: Lippincott; 1984;p. 829–889
  6. Fielding JW, Hensinger RN, Hawkins RJ. Os odontoideum. J Bone Joint Surg Am. 1980;62:376–383
  7. Wollin DG. The os odontoideum. J Bone Joint Surg Am. 1963;45:1459–1471
  8. Karimi-Nejed A. Indications and technique for the operative treatment of hypoplastic deformities of the odontoid process. Neurosurg Rev. 1983;6:221–227
  9. Gammal TE, Brooks BS. Anatomy of the craniovertebral junction. In:  Taveras JM editors. Radiology diagnosis imaging interventionvol. 3. Philadelphia: Lippincott; 1990;p. 1–8 78
  10. Gammal TE, Brooks BS. Radiologic evaluation of the craniovertebral junction. In:  Taveras JM editors. Radiology diagnosis imaging interventionvol. 3. Philadelphia: Lipponcott; 1990;p. 1–16 79
  11. Elliot S. The odontoid process in children—is it hypoplastic?. Clin Radiol. 1988;39:391–393
  12. Glasser SA, Glasser ES. Rare congenital anomalies simulating upper cervical spine fractures. J Emerg Med. 1991;9:331–335
  13. Davis D, Guttierrez FA. Congenital anomaly of the odontoid in children. A report of four cases. Childs Brain. 1977;3:219–229
  14. Phillips PC, Lorensten KJ, Shropshire LC, Ahn HS. Congenital odontoid aplasia and posterior circulation stroke in childhood. Ann Neurol. 1988;23:410–413
  15. Badkur DS, Arora A. Trivial injuries, associated congenital anomaly and medicolegal interpretation of death. Med Sci Law. 1999;39:72–76
  16. Erbongi A, Oge A. Congenital malformations of the craniovertebral junction; classification and surgical treatment. Acta Neurochir (Wien). 1994;27:180–185

 Clinical Communications (Adult) is coordinated by Ron M. Walls, MD, of Brigham and Women’s Hospital and Harvard University Medical School, Boston, Massachusetts.The opinions of the author do not necessarily represent those of the United States Army or the Department of Defense.

PII: S0736-4679(02)00661-3

doi: 10.1016/S0736-4679(02)00661-3

The Journal of Emergency Medicine
Volume 24, Issue 1 , Pages 15-18 , January 2003