Source:http://linkedlifedata.com/resource/pubmed/id/15241606
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
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pubmed:dateCreated |
2004-12-3
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pubmed:abstractText |
Increasing neck pain in a 29 year old woman after a frontal car collision gave reason for a conventional x-ray that presented a traumatically displaced os odontoideum positioned at the top of the dens axis. No neurological defect was seen. Dynamic flexion/extension film showed a movement to an atlantoaxial dislocation with a shift of the os odontoideum. The sclerotic structure of the corresponding bony surfaces was confirmed by computed tomography, whereas magnetic resonance imaging demonstrated a posttraumatic signal change in front of the base of dens axis and os odontoideum. Fusion was achieved by computed navigation with C1/C2 transfacetal screws as described by Magerl and interspinal fusion with a bicortical autologous iliac crest graft and a posterior tension band as described by Brooks. An exact positioning of screws past the asymmetric course of both arteria vertebrales was possible by navigation. The patient was free of pain 5 months after the fusion.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0177-5537
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
107
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1089-92
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pubmed:dateRevised |
2009-11-3
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pubmed:meshHeading |
pubmed-meshheading:15241606-Adult,
pubmed-meshheading:15241606-Atlanto-Axial Joint,
pubmed-meshheading:15241606-Bone Screws,
pubmed-meshheading:15241606-Dislocations,
pubmed-meshheading:15241606-Female,
pubmed-meshheading:15241606-Follow-Up Studies,
pubmed-meshheading:15241606-Humans,
pubmed-meshheading:15241606-Image Processing, Computer-Assisted,
pubmed-meshheading:15241606-Joint Instability,
pubmed-meshheading:15241606-Magnetic Resonance Imaging,
pubmed-meshheading:15241606-Odontoid Process,
pubmed-meshheading:15241606-Postoperative Complications,
pubmed-meshheading:15241606-Spinal Fusion,
pubmed-meshheading:15241606-Surgery, Computer-Assisted,
pubmed-meshheading:15241606-Tomography, X-Ray Computed,
pubmed-meshheading:15241606-User-Computer Interface
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pubmed:year |
2004
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pubmed:articleTitle |
[Multidirectional atlantoaxial instability of an os odontoideum in an adult].
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pubmed:affiliation |
Klinik und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universität, Köln. isenbergajem@aol.com
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
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