Abstract
The odontoid process was once thought to be a displaced body of the atlas but is now believed to have separated from the anterior part of the atlas between the sixth and seventh week of gestation and to have migrated caudally to fuse with the body of the axis. The fully formed odontoid process is toothlike/peg shaped with a curved superior surface and deviates slightly to the left or right in approximately 14–26% of the population. The odontoid may also be retroflexed, and this has been found to be more common in individuals with the Chiari I malformation.
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References
Kyoshima K, Kakizawa Y, Tokushige K, Akaishi K, Kanaji M, Kuroyanagi T. Odontoid compression of the brainstem without basilar impression—odontoid invagination. J Clin Neurosci. 2005;12:565–9.
Kim DH, Betz RR, Huhn SL, Newton PO. Cervical spine development. Surgery of the pediatric spine. New York: Thieme; 2008. p. 95–6.
Francis S, Isamu N. Malformation of the odontoid process: report of a case and clinical survey. Calif Med. 1957;86:394–8.
Cramer GD, Darby SA. The anatomy of the odontoid process. Clinical anatomy of the spine, spinal cord and ANS. 3rd ed. St Louis: Mosby; 2013.
Jinkins R. Atlas of neuroradiologic embryology, anatomy, and variants. Philadelphia: Lippincott Williams and Wilkins; 2000. p. 542.
Lang J. Skull base and related structures: atlas of clinical anatomy. 2nd ed. Stuttgart: Schattauer Verlag; 2001. p. 289–306.
Tubbs RS, Wellons JC 3rd, Blount JP, Grabb PA, Oakes WJ. Inclination of the odontoid process in the pediatric Chiari I malformation. J Neurosurg Spine. 2003;98(1 Suppl):43–9.
Dachling P, Dominic NPT. Embryology and bony malformations of the craniovertebral junction. Childs Nerv Syst. 2011;7:523–64.
Thamburaj VA. Neurodevelopmental disorders: craniovertebral junction abnormalities. In: Textbook of contemporary neurosurgery. New Delhi: Jaypee Brothers Med. Publ.; 2012. p. 446–54.
Kilmo P Jr, Coon V, Brockmeyer D. Incidental os odontoideum: current management strategies. Neurosurg Focus. 2011;31(6):1–6.
Shenglin W, Chao W. Familial dystopic os odontoideum: a report of three cases. J Bone Joint Surg. 2011;93:e44.
Vijayasaradhi M, Phaniraj GL, Kumar B. Anteverted odontoid: a rare congenital bony anomaly of craniovertebral junction. Neurol India. 2010;58:490–2.
Usta Y, Sakha F, WhiteWL LAS, Knecht L. Duplicated pituitary gland and odontoid process. A case report. Neuroradiol J. 2012;3:360–3.
Tubbs RS, Cesmebasi A, Loukas M, Hogan E, Kralovic S, Cohen-Gadol A. The Chiari malformations: a review with emphasis on anatomical traits. Clin Anat. 2015;28:184–94.
Dilettoso S, Uccello M, Dilettoso A, Gelardi S, Dilettoso B. Duplicated odontoid process and atlas cleft associated to Klippel-Feil syndrome. Spine J. 2012;12:449–50.
Tubbs RS, Hallock JD, Radcliff V, et al. Ligaments of the craniocervical junction. A review. J Neurosurg Spine. 2011;14:697–709.
Garant M, Oudjhane K, Sinsky A, O’Gorman AM. Duplicated odontoid process: plain radiographic and CT appearance of a rare congenital anomaly of the cervical spine. AJNR. 1997;18:1719–20.
Tubbs RS, Oakes WJ, Grabb PA. Nonseparated odontoid process fused to an atlantal hemiarch. Pediatr Neurosurg. 2004;40:141–2.
Perez-Vallina JR, Riano-Galan I, Cobo-Ruisanchez A, Orejas-Rodriguez-Arango G, Lopez-Muniz C, Fernandez-Martinez JM. Congenital anomaly of craniovertebral junction: atlas odontoid process fusion with C1 anterior arch cleft. J Spinal Disord Tech. 2002;15(1):84–7.
Prokesch RW, Chocholka P, Bader TW, Ba-Ssalamah A, Trattnig S. Dolichoodontoid. A rare cranio-cervical anomaly—MRI finding. Eur J Radiol. 2000;33:38–40.
Bambakidis NC, Dickman CA, Spetzler RF, Sonntag VKH. The axis, associated anomalies, and injuries. Surgery of the craniovertebral junction. 2nd ed. New York: Thieme; 2012.
Combalia A. The axis vertebrae. Milan: Springer; 2013. p. 2–19.
Gilroy AM, Macpherson BR, Ross LM, Schuenke M, Schulte E, Schumacher U. Atlas of anatomy. New York: Thieme; 2012. p. 112.
Tubbs SR, Grabb P, Spooner A, Wilson W, Oakes JW. The apical ligament: anatomy and functional significance. J Neurosurg. 2000;92:197–200.
Tubbs RS, Griessenauer CJ, Hendrix P, Oakes P, Loukas M, Chern JJ, Rozzelle CJ, Oakes WJ. Relationship between pharyngitis and peri-odontoid pannus: a new etiology for some Chiari I malformations? Clin Anat. 2015;28:602–7.
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Tubbs, R.S. (2020). The Odontoid Process. In: Tubbs, R., Turgut, M., Oakes, W. (eds) The Chiari Malformations. Springer, Cham. https://doi.org/10.1007/978-3-030-44862-2_9
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DOI: https://doi.org/10.1007/978-3-030-44862-2_9
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