RESUMO
The authors present a case of a 14-years old boy, in whom, after a mild trauma, massive signs of cervical spinal cord injury appeared. Isolated odontoid process with instability of atlanto-axial complex proved to be the cause. In course of therapy with methylprednisolone and rehabilitation full recovery was achieved. The operative management consisted in posterior interlaminar stabilization C1-C2 with autologous bone transplant and titanium cable (Sof'wire). The etiology of this disturbance is discussed and operation method is presented.
Assuntos
Articulação Atlantoaxial/lesões , Articulação Atlantoaxial/cirurgia , Processo Odontoide/lesões , Processo Odontoide/cirurgia , Adolescente , Anti-Inflamatórios/uso terapêutico , Articulação Atlantoaxial/patologia , Vértebras Cervicais/transplante , Traumatismos Craniocerebrais/complicações , Humanos , Masculino , Metilprednisolona/uso terapêutico , Transtornos dos Movimentos/etiologia , Transtornos dos Movimentos/reabilitação , Processo Odontoide/patologia , Implantação de Prótese , Esclerose/tratamento farmacológico , Esclerose/patologia , Esclerose/cirurgia , Traumatismos da Medula Espinal/etiologia , Traumatismos da Medula Espinal/cirurgia , Titânio/uso terapêuticoRESUMO
In a 30-year-old female patient the cause of pain in lower extremities lasting for many years was a giant perineural cyst in the sacral part of the vertebral canal. After radical removal the cyst pain disappeared completely.