Axial superior facet slope may determine anterior or posterior atlantoaxial displacement secondary to os odontoideum and compensatory mechanisms of the atlantooccipital joint and subaxial cervical spine - Takeaways - MDSpire
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The Role of Axial Superior Facet Slope in Anterior or Posterior Atlantoaxial Displacement Associated with Os Odontoideum and Compensatory Adjustments in the Atlantooccipital Joint and Subaxial Cervical Spine

  • By

  • Yan Chen

  • Han Du

  • Xiaofei Cheng

  • Jie Zhao

  • Han Qiao

  • Changqing Zhao

  • March 22, 2023

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  • 1

    Os odontoideum is a significant factor in atlantoaxial displacement, leading to higher morbidity in anterior displacement compared to posterior displacement.

  • 2

    The axial superior facet slope may influence the direction of atlantoaxial displacement and trigger compensatory mechanisms in the cervical spine.

  • 3

    A study included 24 patients with os odontoideum and atlantoaxial displacement, comparing them to a control group of 72 patients with cervical degeneration.

  • 4

    Measurements of cervical sagittal parameters were conducted using mid-sagittal CT reconstructions and standing cervical X-ray examinations.

  • 5

    The study found excellent reliability for the axial superior facet slope measurements, indicating its potential role in assessing atlantoaxial displacement.

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