Atlanto-axial rotational limitation secondary to osteoid osteoma of the axis

Case report

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✓ An unusual case of atlanto-axial rotational limitation secondary to an osteoid osteoma of the axis is presented. Transoral microsurgical resection followed by physical therapy improved the clinical symptoms. This case illustrates several unique problems within the cervical spine as well as the efficacy of the transoral approach to the axis.

Article Information

Address reprint requests to: Michael N. Bucci, M.D., Section of Neurosurgery, Taubman Health Care Center — Box 0338, 1500 East Medical Center Drive, Ann Arbor, Michigan 48109.

© AANS, except where prohibited by US copyright law.

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    Computerized tomography scans through C1–2 showing rotational limitation as well as a left-sided low-attenuation axis lesion with a high-attenuation central nidus and sclerotic edges. These imaging characteristics suggest an osteoid osteoma.

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