Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 23746
  Title Varied clinical presentation of os odontoideum: A case report
URL http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4139764/?report=classic
Journal J Can Chiropr Assoc. 2014 Sep;58(3):268–272
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes

OBJECTIVE: To present a case of an os odontoideum and to provide insight into the varied clinical presentations.

CLINICAL FEATURES: A 54 year old man presented with chronic neck pain without headache. A clinical examination was performed and the chiropractor viewed his AP and lateral radiographs. Previous flexion/ extension radiographs and MRI imaging from 2009 were requested for review. The patient was diagnosed with grade II mechanical neck pain. Treatment was rendered that day which included spinal manipulation/ mobilization. Several days later the requested imaging reports were received and described the presence of an os odontoideum.

CONCLUSION: In the presence of os odontoideum, familiarity with the signs and symptoms of potential cervical instability is imperative. Health care providers must remain diligent in their patient histories, physical exams, and imaging. This case highlights the importance of following up on imaging studies to rule out diagnoses that would involve treatment contraindications thus ensuring safe and effective treatment.


OBJECTIF: Présenter un cas d’os odontoïde, et donner un aperçu des différents tableaux cliniques.

CARACTÉRISTIQUES CLINIQUES: Un homme de 54 ans qui souffre de douleurs cervicales chroniques, sans maux de tête. Un examen clinique a eu lieu et le chiropraticien a vérifié sa pression artérielle et ses radiographies latérales. Des radiographies et images IRM antérieures de la flexion et l’extension, datant de 2009, ont aussi été requises pour examen. On avait diagnostiqué sur ce patient une cervicalgie mécanique de stade II. Un traitement avait été administré ce même jour, dont une manipulation / mobilisation vertébrale. Quelques jours plus tard, les rapports demandés d’imagerie sont reçus, qui font état d’un os odontoïde.

CONCLUSION: Il est impératif de reconnaître les signes et les symptômes d’une instabilité cervicale potentielle, en la présence d’un os odontoïde. Les fournisseurs de soins de santé doivent faire preuve de vigilance à l’égard des antécédents de leurs patients, des examens physiques, et de l’imagerie médicale. Ce cas souligne l’importance de faire le suivi des examens d’imagerie pour écarter tout mauvais diagnostic qui engendrerait un traitement contre-indiqué, pour assurer une prise en charge sûre et efficace du patient.

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text. Online access only.


 

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