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- Hidetoshi Sato, Nobuyuki Shimokawa, Hiroaki Matsumoto, and Toshihiro Takami.
- Department of Neurosurgery, Tsukazaki Hospital, Hyogo, Japan. Electronic address: hidetoshi1028@gmail.com.
- World Neurosurg. 2019 Oct 1; 130: 146-149.
BackgroundOs odontoideum is a smooth, independent ossicle separated from a hypoplastic odontoid process located cranially in the expected position of the odontoid tip. The pathogenesis of os odontoideum remains controversial, and several etiological theories have been suggested for congenital, developmental, and traumatic origins.Case DescriptionWe have reported symptomatic familial cases of dystopic os odontoideum in 2 elderly sisters who denied any traumatic history of the head and neck. Both patients were treated surgically, with successful outcomes achieved.ConclusionsWhen examining the etiology of os odontoideum, checking for the existence of a traumatic history is important. However, a more important matter is to consider morphological segmentation abnormalities of the proatlas. Segmentation abnormalities of the proatlas could be closely connected to the development of familial os odontoideum.Copyright © 2019 Elsevier Inc. All rights reserved.
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