Systematic Review on Management of Osteomyelitis of the Odontoid Process of the Axis

Mohammed Galaal Soliman


yogenic spondylitis of the upper cervical spine is a rare manifestation. In 1896, Makins and Abbott first reported 2 cases of odontoid osteomyelitis. Atlantoaxial subluxation is a well-known complication of rheumatoid arthritis, trauma, and congenital disease. The unique features of C2 anatomy and its articulations complicate assessment of its pathology. Osteomyelitis can be broadly classified according to source of infection: spread from a contiguous site or following haematogenous seeding. The latter is more likely to be associated with monomicrobial infection while the former is often polymicrobial in origin including obligately anaerobic bacteria Osteomyelitis in individuals with vascular insufficiency including patients with diabetes mellitus is also frequently polymicrobial. There are also aetiological associations with patient age. In neonates, for example, the bacteria most frequently associated with acute haematogenous osteomyelitis are those which cause neonatal sepsis, notably Lancefield group B streptococci (Streptococcus agalactiae) and Escherichia coli as well as S. aureus. In older children, S. aureus infection predominates and in some countries, such as the US, community-acquired methicillin-resistant strains (CA-MRSA) are increasingly recognized.

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Other Titles طرق معالجة عدوى السِنة العظمية للفقرة العنقية الثانية دراسة منهجية
Issue Date 2017

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