Pathologic Fracture in a Hemangiomatous ‎Odontoid; Case Report and Review of Literature

Background: Vertebral hemangiomas are among the ‎ commonest benign primary spinal tumors. They usually ‎ assumed to be incidental findings in neuroimaging studies; ‎ however they can be symptomatic either because of their ‎ aggressive behavior or fracture in the affected vertebrae. There ‎ is a bulk data on natural course, diagnosis and treatment of ‎ these benign lesions in the literature, but few key points ‎ provided regarding their treatment when causing C2/odontoid ‎ fractures. ‎ Case presentation: 27 year old male who suffered minor head ‎ trauma after a motor vehicle accident, presented to the ‎ emergency room with a severe neck pain. No obvious ‎ functional neurological deficit was noted in the initial and ‎ further clinical evaluation. In routine neuroimaging studies ‎ there was a displaced type 2 odontoid fracture in the ‎ hemangiomatous C2 vertebrea. Based on our literature review ‎ external immobilization with a Halo-Vest and close fallow up ‎ was sought as the most appropriate treatment strategy. To ‎ date, good results have achieved in a very short term course of ‎ follow up. ‎ Conclusion: pathologic fracture in a hemangioamtous ‎ odontoid is a rare clinical situation. Given the paucity of ‎ published data, many questions relating to the nature and ‎ management of this condition need clarification. ‎ ‎ Normal 0 false false false EN-US X-NONE AR-SA