case_images: PMC10629300_01
case_images: (a) X-ray cervical spine lateral view showing increased atlanto dental interval (13 mm) with radio dense shadow in between. (b) Magnetic resonance imaging cervical spine in sagittal T1-weighted image and contrast showing prevertebral retro-oropharyngeal abscess. (c) Immediate postoperative cervical X-ray days showed beautiful correction.
case_images: SNI-14-359-g001.jpg
case_images: PMC10629300_03_SNI-14-359-g001.jpg
case_images: F1
case_images: X-rays were done on postoperative days 1, 7, and 15 and every month thereafter looking for progressive infection/deformity, and/or pseudarthrosis [Figure 1].
case_images: PMC10629300_02
case_images: (a) X-ray cervical spine lateral view showing increased atlanto dental interval (16 mm) with radio dense shadow in between, (b and c) computed tomography (CT) cervical spine lateral (b), coronal (c) view showing osteolytic lesion at C2 body. (d and e) Magnetic resonance imaging (MRI) cervical spine in sagittal T2-weighted image (T2WI) (d) and T1-weighted image (e) showing prevertebral retrooropharyngeal abscess. (f and g) Postoperative cervical X-ray after 15 days, (h) CT cervical spine sagittal after 1 month, and (i) MRI of the cervical spine in sagittal T2WI after 3 months showed complete resolution of abscess, correction of kyphotic deformity.
case_images: SNI-14-359-g002.jpg
case_images: PMC10629300_02_SNI-14-359-g002.jpg
case_images: F2
case_images: The MRI showed an extradural mass anterior to C1/2 compressing the cord spinal cord; it extended into the retropharyngeal space [Figure 2].
case_images: PMC10629300_03
case_images: (a) X-ray cervical spine lateral view showing increased atlanto dental interval (13 mm) with radio dense shadow in between. (b) Magnetic resonance imaging cervical spine in sagittal T1-weighted image and contrast showing prevertebral retro-oropharyngeal abscess. (c) Immediate postoperative cervical X-ray days showed beautiful correction.
case_images: SNI-14-359-g001.jpg
case_images: PMC10629300_03_SNI-14-359-g001.jpg
case_images: F1
case_images: X-rays were done on postoperative days 1, 7, and 15 and every month thereafter looking for progressive infection/deformity, and/or pseudarthrosis [Figure 1].
case_images: X-ray cervical spine dynamic view showing C1/2 instability, (b) Computed tomography (CT) cervical spine in sagittal view, showing partial erosion of C1 lateral mass and C2 body, (c, d, e) Magnetic resonance imaging (MRI) of the cervical spine, contrast enhancing extradural mass at C1-3 levels causing obliteration of the anterior CSF column and prevertebral collection of abscesses. (f) Postoperative X-ray of the cervical spine at 1 month, showing spinal fixation between C1 lateral mass, C2 pedicle, and C3 lateral mass with screws and rods, (g) MRI of the cervical spine at 6-month complete resolution of abscess and significant decompression of cord.
case_images: SNI-14-359-g003.jpg
case_images: PMC10629300_03_SNI-14-359-g003.jpg
case_images: F3
case_images: The CT confirmed the destruction of dens [Figure 3].