Abstract
Most authorities favor the hypothesis of an acquired etiology of os odontoideum. We present the cases of identical twin sisters with os odontoideum in association with a congenital partial fusion of the posterior elements of the second and third cervical vertebrae, and discuss the implications. We believe that this is the first report of familial os odontoideum in a context which suggests a genetic etiology.
Similar content being viewed by others
References
Fielding JW, Hensinger RN, Hawkins RJ (1980) Os odontoideum. J Bone Joint Surg [Am] 62:376
Giacomini C (1886) Sull' esistenza dell' “os odontoideum” nell' uomu. Gior R Accad Med Torino 49:24
Hukuda S, Ota H, Okabe N, Tazima K (1980) Traumatic atlantoaxial dislocation causing os odontoideum in infants. Spine 5:207
Moore KL (1977) The developing human: clinically oriented embryology. Saunders, Philadelphia, p 304
Morgan MK, Onofrio BM, Bender CE (1989) Familial os odontoideum. Case report. J Neurosurg 70:636
Ricciardi JE, Kaufer H, Louis DS (1976) Acquired os odontoideum following acute ligament injury. Report of a case. J Bone Joint Surg [Am] 58:410
Schatzker J, Roraback CH, Waddell JP (1971) Fractures of the dens (odontoid process). An analysis of thirty-seven cases. J Bone Joint Surg [Br] 53:392
Schiff DCM, Parke WW (1973) The arterial supply of the odontoid process. J Bone Joint Surg [Am] 55:1450
Schuler TC, Kurz L, Thompson DE, Zemenick G, Hensinger RN, Herkowitz HN (1991) Natural history of os odontoideum. Case report. J Pediatr Orthop 11:222
Sherk HH, Dawoud S (1981) Congenital os odontoideum with Klippel-Feil anomaly and fatal atlantoaxial instability. Report of a case. Spine 6:42
Stillwell WT, Fielding JW (1978) Acquired os odontoideum. A case report. Clin Orthop 135:71
Torklus D von, Gehle W (1972) The upper cervical spine. Grune and Stratton, New York, p 42
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kirlew, K.A., Hathout, G.M., Reiter, S.D. et al. Os odontoideum in identical twins: perspectives on etiology. Skeletal Radiol. 22, 525–527 (1993). https://doi.org/10.1007/BF00209102
Issue Date:
DOI: https://doi.org/10.1007/BF00209102