0
Case Reports   |    
Pseudarthrosis of a Thirty-nine-Year-Old Dens Fracture Causing MyelopathyA Case Report
Jonas R. Rudzki, MD, MS1; Lawrence G. Lenke, MD1; Kathy Blanke, RN1; K. Daniel Riew, MD1
1 Department of Orthopaedic Surgery, Washington University School of Medicine, One Barnes-Jewish Hospital Plaza, Suite 11300, West Pavilion, St. Louis, MO 63110. E-mail address for L.G. Lenke: lenkel@msnotes.wustl.edu
View Disclosures and Other Information
The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Investigation performed at the Washington School of Medicine, Saint Louis, Missouri

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2004 Nov 01;86(11):2509-2513
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case

Extract

Treatment of fractures of the odontoid process of the axis (the dens) has the potential to stabilize a critical injury or result in a high degree of morbidity or even death. We present the case of a patient in whom myelopathy developed more than thirty-nine years after he sustained a dens fracture while playing football. This case is unique because of the prolonged asymptomatic interval between the injury and the development of the myelopathy, during which time the patient worked as a manual laborer. The late onset of progressive myelopathy after a dens fracture is considered uncommon1,2 and, to our knowledge, this case represents the second longest delay between a dens fracture and the onset of myelopathy in the English-language literature. The myelopathy resolved after surgical stabilization, and the four-year clinical and radiographic follow-up data are presented. Our patient was notified that data concerning this case would be submitted for publication.
Figures in this Article

    First Page Preview

    View Large
    />
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

     
    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org

    References

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe





    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    12/31/2013
    S. Carolina - Department of Orthopaedic Surgery Medical Univerity of South Carlonina
    01/22/2014
    Pennsylvania - Penn State Milton S. Hershey Medical Center
    03/05/2014
    Oklahoma - The University of Oklahoma
    11/15/2013
    Louisiana - Ochsner Health System