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Abnormal odontoid process morphology

MedGen UID:
351218
Concept ID:
C1864794
Anatomical Abnormality; Finding
Synonyms: Abnormal odontoid peg; Abnormal odontoid process
 
HPO: HP:0003310

Definition

Abnormal structure of the odontoid process, which is a part of the C2 or axis vertebra and forms pivot of the structures forming the craniovertebral junction. The odontoid process is also known as the dens of the axis. [from HPO]

Conditions with this feature

Spondylocostal dysostosis
MedGen UID:
82707
Concept ID:
C0265343
Disease or Syndrome
Spondylocostal dysostosis (SCDO), defined radiographically as multiple segmentation defects of the vertebrae (M-SDV) in combination with abnormalities of the ribs, is characterized clinically by: a short trunk in proportion to height; short neck; non-progressive mild scoliosis in most affected individuals, and occasionally, more significant scoliosis. Respiratory function in neonates may be compromised by reduced size of the thorax. By age two years lung growth may improve sufficiently to support relatively normal growth and development; however, even then life-threatening complications can occur, especially pulmonary hypertension in children with severely restricted lung capacity from birth. Males with SCDO appear to be at increased risk for inguinal hernia.
Brachyolmia type 1, toledo type
MedGen UID:
376504
Concept ID:
C1849048
Disease or Syndrome
Short stature and Facioauriculothoracic malformations
MedGen UID:
351216
Concept ID:
C1864791
Disease or Syndrome
Spondylocostal dysostosis 4, autosomal recessive
MedGen UID:
462292
Concept ID:
C3150942
Disease or Syndrome
Spondylocostal dysostosis (SCDO), defined radiographically as multiple segmentation defects of the vertebrae (M-SDV) in combination with abnormalities of the ribs, is characterized clinically by: a short trunk in proportion to height; short neck; non-progressive mild scoliosis in most affected individuals, and occasionally, more significant scoliosis. Respiratory function in neonates may be compromised by reduced size of the thorax. By age two years lung growth may improve sufficiently to support relatively normal growth and development; however, even then life-threatening complications can occur, especially pulmonary hypertension in children with severely restricted lung capacity from birth. Males with SCDO appear to be at increased risk for inguinal hernia.

Professional guidelines

PubMed

Klimo P Jr, Kan P, Rao G, Apfelbaum R, Brockmeyer D
J Neurosurg Spine 2008 Oct;9(4):332-42. doi: 10.3171/SPI.2008.9.10.332. PMID: 18939918
Riew KD, Hilibrand AS, Palumbo MA, Sethi N, Bohlman HH
J Bone Joint Surg Am 2001 Feb;83(2):194-200. doi: 10.2106/00004623-200102000-00006. PMID: 11216680

Recent clinical studies

Etiology

Park S, Woo JE, Kim S, Yim SY
J Craniofac Surg 2018 Jul;29(5):1266-1270. doi: 10.1097/SCS.0000000000004441. PMID: 29905581
Shen W, Cui J, Chen J, Ji Y, Zou J, Chen H, Xiongzheng M
J Craniofac Surg 2013 May;24(3):934-6. doi: 10.1097/SCS.0b013e31828606a1. PMID: 23714914
Stevens CA, Pearce RG, Burton EM
Am J Med Genet A 2009 Jun;149A(6):1290-2. doi: 10.1002/ajmg.a.32860. PMID: 19449423
Yassaei S, Bahrololoomi Z, Sorush M
J Clin Pediatr Dent 2007 Summer;31(4):287-90. doi: 10.17796/jcpd.31.4.lp479v346345460g. PMID: 19161068
Martich V, Ben-Ami T, Yousefzadeh DK, Roizen NJ
Radiology 1992 Apr;183(1):125-8. doi: 10.1148/radiology.183.1.1532260. PMID: 1532260

Diagnosis

Prasad A, Shah A, Sasane S, Goel A
World Neurosurg 2020 Sep;141:215-218. Epub 2020 Jun 18 doi: 10.1016/j.wneu.2020.06.102. PMID: 32565378
Meng H, Gao Y, Li M, Luo Z, Du J
Skeletal Radiol 2014 Jul;43(7):1001-6. Epub 2014 Jan 29 doi: 10.1007/s00256-013-1809-y. PMID: 24469150
Fernandes C, Agrawal A, Shreshtha BB, Yogi N, Cherian I
BMJ Case Rep 2010 Dec 1;2010 doi: 10.1136/bcr.06.2010.3117. PMID: 22798308Free PMC Article
Pearce JM
Eur Neurol 2007;58(1):62-4. Epub 2007 May 4 doi: 10.1159/000102172. PMID: 17483591
Ducker TB
J Spinal Disord 1993 Aug;6(4):364-5; discussion 365-9. PMID: 8219550

Therapy

Perrini P, Benedetto N, Cacciola F, Gallina P, Di Lorenzo N
Acta Neurochir Suppl 2019;125:235-240. doi: 10.1007/978-3-319-62515-7_33. PMID: 30610327
Tang X, Tan M, Yi P, Yang F, Hao Q
Eur Spine J 2018 Jul;27(Suppl 3):259-263. Epub 2017 May 15 doi: 10.1007/s00586-017-5116-5. PMID: 28508240
Yassaei S, Bahrololoomi Z, Sorush M
J Clin Pediatr Dent 2007 Summer;31(4):287-90. doi: 10.17796/jcpd.31.4.lp479v346345460g. PMID: 19161068
Galli J, Tartaglione T, Calo L, Ottaviani F
Am J Otolaryngol 2001 Sep-Oct;22(5):371-3. doi: 10.1053/ajot.2001.26503. PMID: 11562892
Smith MD, Phillips WA, Hensinger RN
Spine (Phila Pa 1976) 1991 Jul;16(7):702-5. doi: 10.1097/00007632-199107000-00002. PMID: 1925741

Prognosis

Shen W, Cui J, Chen J, Ji Y, Zou J, Chen H, Xiongzheng M
J Craniofac Surg 2013 May;24(3):934-6. doi: 10.1097/SCS.0b013e31828606a1. PMID: 23714914
Yassaei S, Bahrololoomi Z, Sorush M
J Clin Pediatr Dent 2007 Summer;31(4):287-90. doi: 10.17796/jcpd.31.4.lp479v346345460g. PMID: 19161068
Nanduri VR, Jarosz JM, Levitt G, Stanhope R, Chong WK, Pritchard J
J Pediatr 2000 Jan;136(1):114-8. doi: 10.1016/s0022-3476(00)90062-3. PMID: 10636985
Goel A, Bhatjiwale M, Desai K
J Neurosurg 1998 Jun;88(6):962-8. doi: 10.3171/jns.1998.88.6.0962. PMID: 9609289
Pueschel SM, Scola FH
Pediatrics 1987 Oct;80(4):555-60. PMID: 2958770

Clinical prediction guides

Gil JR, Kim WT, Seo MJ
Jpn J Radiol 2015 Dec;33(12):769-71. Epub 2015 Oct 26 doi: 10.1007/s11604-015-0493-3. PMID: 26497025
Menezes AH
J Neurosurg Pediatr 2012 Jun;9(6):573-85. doi: 10.3171/2012.2.PEDS11371. PMID: 22656246
Stevens CA, Pearce RG, Burton EM
Am J Med Genet A 2009 Jun;149A(6):1290-2. doi: 10.1002/ajmg.a.32860. PMID: 19449423
Türe U, Pamir MN
J Neurosurg 2002 Jan;96(1 Suppl):73-82. doi: 10.3171/spi.2002.96.1.0073. PMID: 11795718
Goel A, Bhatjiwale M, Desai K
J Neurosurg 1998 Jun;88(6):962-8. doi: 10.3171/jns.1998.88.6.0962. PMID: 9609289

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