Pyogenic osteomyelitis of the occiput, the atlas, and the axis. A report of five cases

J. E. Zigler, H. H. Bohlman, R. A. Robinson, Lee H Riley, L. D. Dodge

Research output: Contribution to journalArticle

Abstract

Pyogenic osteomyelitis rarely affects the first and second cervical vertebrae, and when it does it can progress to abscess formation, compressing the spinal cord. If the process is unrecognized, it can be fatal. The cases of five patients are reported. Two patients were treated by anterior debridement and posterior cervical-occipital arthrodesis; one, by transoral drainage; one, by posterior cervical-occipital arthrodesis; and the fifth, by posterior atlanto-axial arthrodesis. The causative organism was Staphylococcus aureus in four patients and Pasteurella multocida in one. In all patients, intravenous antibiotics were used, followed by prolonged administration of oral antibiotics. All five patients recovered.

Original languageEnglish (US)
Pages (from-to)1069-1073
Number of pages5
JournalThe Journal of bone and joint surgery. American volume
Volume69
Issue number7
StatePublished - 1987
Externally publishedYes

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Atlases
Osteomyelitis
Arthrodesis
Anti-Bacterial Agents
Pasteurella multocida
Cervical Vertebrae
Debridement
Abscess
Oral Administration
Staphylococcus aureus
Drainage
Spinal Cord

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Pyogenic osteomyelitis of the occiput, the atlas, and the axis. A report of five cases. / Zigler, J. E.; Bohlman, H. H.; Robinson, R. A.; Riley, Lee H; Dodge, L. D.

In: The Journal of bone and joint surgery. American volume, Vol. 69, No. 7, 1987, p. 1069-1073.

Research output: Contribution to journalArticle

Zigler, J. E. ; Bohlman, H. H. ; Robinson, R. A. ; Riley, Lee H ; Dodge, L. D. / Pyogenic osteomyelitis of the occiput, the atlas, and the axis. A report of five cases. In: The Journal of bone and joint surgery. American volume. 1987 ; Vol. 69, No. 7. pp. 1069-1073.
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