J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803463
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Extended Endoscopic Endonasal Approach with Odontoidectomy in a Patient Presenting with Unstable Pathological Type 2 Fracture, Retropharyngeal Abscess, and Cervical-Medullary Compression

Adnan H. Shahid
1   University of South Alabama Mobile, Mobile, Alabama, United States
,
Mehdi Khaleghi
1   University of South Alabama Mobile, Mobile, Alabama, United States
,
Sudhir Suggala
1   University of South Alabama Mobile, Mobile, Alabama, United States
,
Danner Butler
1   University of South Alabama Mobile, Mobile, Alabama, United States
,
Garrett Dyess
1   University of South Alabama Mobile, Mobile, Alabama, United States
,
Urusla Hummel
1   University of South Alabama Mobile, Mobile, Alabama, United States
,
Manvinder Suden
1   University of South Alabama Mobile, Mobile, Alabama, United States
,
Mark Gacek
1   University of South Alabama Mobile, Mobile, Alabama, United States
,
Richard Menger
1   University of South Alabama Mobile, Mobile, Alabama, United States
,
Jai D. Thakur
1   University of South Alabama Mobile, Mobile, Alabama, United States
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We describe a novel extended endoscopic transnasal odontoidectomy in a 56-year-old female chronic smoker presenting with a history of low-grade fever, neck discomfort, and swelling for the past 3 months. On examination, she had mild spasticity in both lower limbs. She underwent odontoidectomy with phlegmon removal and CVJ decompression. Postoperatively, there was a remarkable improvement in spasticity. Pathology revealed acute on chronic osteomyelitis. O-C4 fusion was performed post-antibiotics course.



Publication History

Article published online:
07 February 2025

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