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DOI: 10.1055/s-0038-1660486
Atlanto-Occipital Synostosis in a Colombian Population Sample
Publication History
18 January 2017
07 February 2018
Publication Date:
14 June 2018 (online)

Abstract
Introduction The Cervico-capital rotation process involves important joints with respect to the neurological field. Among these joints, the atlanto-occipital joint accounts for 40% of the total rotation process and its anatomical changes may affect the joint, i.e when the synostosis of both bones occurs. This anomaly has a reported incidence in the world population of 0.14% to 0.75%. To determine whether this incidence range also corresponds to the Colombian population, atlanto-occipital fusion in Colombian patients was studied.
Materials and Methods The presence of atlanto-occipital fusion was assessed in a random sample of 105 skulls of a Colombian population. Morphometric features were evaluated by using a Vernier caliper.
Results Out of the total sample two cases of atlanto-occipital fusion were identified. One of them exhibited a bilateral fusion between the anterior arch of the foramen magnum and the lateral masses of the atlas; the other one exhibited a left hemisynostosis that compromises the anterior arch foramen magnum and left lateral mass of atlas. The overall frequency of occurrence was 1.9%.
Conclusion A greater incidence of atlanto-occipital fusion was found in contrast to the range of world incidence reported in the literature.
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References
- 1 Pró EA. Anatomía clínica. Buenos Aires: Editorial Médica Panamericana; 2012: 963
- 2 Mudaliar RP, Shetty S, Nanjundaiah K, Kumar J P, Kc J. An osteological study of occipitocervical synostosis: its embryological and clinical significance. J Clin Diagn Res 2013; 7 (09) 1835-1837
- 3 Vasudeva N, Choudhry R. Precondylar tubercles on the basiocciput of adult human skulls. J Anat 1996; 188 (Pt 1): 207-210
- 4 Duque Parra JE, Barco Ríos J, Moscoso Ariza OH. Grados de rotación cérvico-capital de la población de Caldas, Colombia. Int J Morphol 2010; 28 (04) 1125-1129 Doi: 10.4067/S0717- 95022010000400022
- 5 Kayhan B, Ilhan P, Ertürk M, Şengül G. Occipitocervical synostosis: case report. Anatomy: Intern J Experim Clin Anatom 2015; 9: 104-107
- 6 Saini V, Singh R, Bandopadhyay M, Tripathi SK, Shamal SN. Occipitalization of the atlas: its occurrence and embryological basis. Intern J Anatom Variat 2009; 2: 65-68
- 7 Goel A, Sharma P, Dange N, Kulkarni AG. Techniques in the treatment of craniovertebral instability. Neurol India 2005; 53 (04) 525-533 Doi: 10.4103/0028-3886.22625
- 8 Campos DD, Silva TH, Ellwanger JH. , et al. Atlanto-occipital fusion and its neurological complications: a case report. J Morpho Sciences 2012; 29 (02) 111-113
- 9 Guebert GM, Yochum TR, Rowe LJ. Congenital anomalies and normal skeletal variants. Essentials of skeletal radiology. Baltimore: Lippincott Williams & Wilkins; 1987: 1680
- 10 Monalisa Pandit S, Bhatnagar R. Atlanto-occipital fusion: a case report. Medical Journal of Dr. D.Y. Patil Vidyapeeth 2015; 8 (05) 636 10.4103/0975-2870.164963
- 11 Von Torklus D, Gehle W. The upper cervical spine: regional anatomy, pathology, and traumatology: a systematic radiological atlas and textbook. New York: Grune & Stratton; 1972: 101
- 12 Pereira-Recio H. Estado actual del ultrasonido Doppler de las arterias vertebrales. Revista Archivo Médico de Camagüey 2008; 12: 10-15