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Tumors

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The Axis Vertebra

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Abstract

Tumors of the axis (C2 vertebra) are rare. The location and unique structure of the upper cervical spine and proximity to vital structures make diagnosis and treatment difficult. Appropriate clinical and radiographic evaluation, biopsy, oncologic and surgical staging, and adequate operative techniques and adjuvant treatments should be considered. Pain is usually the initial symptom; incidental diagnosis on plain radiographs is not uncommon. Spasm, kyphotic or scoliotic deformities, or torticollis, neck stiffness and dysphagia, neurological deficits, or spine instability may be associated symptoms. Surgery is the main treatment. However, in the upper cervical spine, intralesional surgery can only be made. Adjuvant radiation therapy and chemotherapy are indicated for certain tumor histologies.

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Authors and Affiliations

  1. First Department of Orthopaedics, Athens University Medical School, 41 Ventouri Street, 15562, Athens, Holargos, Greece

    Andreas F. Mavrogenis

  2. Department of Orthopaedics, Istituto Ortopedico Rizzoli, University of Bologna, Bologna, Italy

    Pietro Ruggieri

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  1. Andreas F. Mavrogenis
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Correspondence to Andreas F. Mavrogenis .

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  1. Heyden Street 10, ATHENS, 10434, Greece

    Demetrios S. Korres

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Mavrogenis, A.F., Ruggieri, P. (2013). Tumors. In: Korres, D. (eds) The Axis Vertebra. Springer, Milano. https://doi.org/10.1007/978-88-470-5232-1_15

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