STUDY DESIGN: A case report. OBJECTIVES: To document our experience with single stage decompression and fixation in the treatment of pyogenic @entity4034 of the odontoid process. SUMMARY OF BACKGROUND DATA: Although several investigators have reported a handful of these unusual cases, up until now, there have been no studies concerning a single stage solution in the surgical treatment of this pathology. METHODS: Three @entity1 with @entity4034 of the odontoid process caused by @entity794 underwent surgical treatment in single sessions (transoral decompression combined with posterior fusion as the second step of the operation). Following surgery, the @entity1 underwent a 6-week antibiotic course administered both intravenously and orally. Furthermore, we recommended the use of a hard cervical collar for 8 weeks together with isometric rehabilitation of the cervical muscles. Currently, follow-up results are available for two @entity1 . RESULTS: On examination at 3 months, 6 months, and 1 year after the surgery, both @entity1 had completely recovered with no @entity51 . Plain radiographs showed complete posterior fusion after 6 and 12 months, respectively. CONCLUSIONS: We emphasize the advantages of our method in comparison with nonoperative treatment or multisession surgery. The single stage surgical solution led to a shortening of hospitalization time with no need for halo bracing, to excellent results with respect to C-spine stability and to better compliance from the @entity1 .

Pyogenic XXXX of the odontoid process: single stage decompression and fusion.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity51 :: ('MESH:D009461', 'Disease') :: ['neurologic deficit'] @entity4034 :: ('MESH:D010019', 'Disease') :: ['osteomyelitis'] @entity794 :: ('1280', 'Species') :: ['Staphylococcus aureus']
@entity4034 :: (MESH:D010019,Disease) :: ['osteomyelitis']
