Posterior pedicle screw fixation combined with local steroid injections for treating axial eosinophilic granulomas and atlantoaxial dislocation:A case report  

作　　者：Cheng-Quan Tu Zhi-Da Chen Xiao-Tao Yao Yuan-Jie Jiang Bi-Fang Zhang Bin Lin 

机构地区：[1]Department of Orthopedic Surgery,The 909^(th)Hospital,School of Medicine,Xiamen University,Zhangzhou 363000,Fujian Province,China [2]School of Medicine,Xiamen University,Xiamen 361005,Fujian Province,China

出　　处：《World Journal of Clinical Cases》2023年第20期4944-4955,共12页世界临床病例杂志

基　　金：Supported by the Natural Science Foundation of Fujian Province,No.2021J01546;the Innovation and Entrepreneurship Star Fund Project of Zhangzhou,No.ZCZZ[2019]17.

摘　　要：BACKGROUND Eosinophilic granuloma(EG)is a proliferative condition that affects the cells of bone tissue.There are no specific clinical signs or imaging manifestations in the early stages of the disease,making it simple to overlook and misdiagnose.Because of the disease's rarity,there is presently no standardized treatment principle.There are few accounts of such occurrences affecting the axis among children.We discovered a case of a child whose EG resulted in atlantoaxial joint dislocation and destruction of the axial bone.CASE SUMMARY After having pharyngeal discomfort for more than six months without a clear explanation,a 6-year-old boy was brought to our hospital.Following a careful evaluation,the pathology indicated a strong likelihood of an axial EG.Ultimately,we decided to treat the boy with posterior pedicle screw fixation and local steroid injections.CONCLUSION EGs of the upper cervical spine are quite uncommon in children,and they are exceedingly easy to overlook or misdiagnose.Posterior pedicle screw fixation and local steroid injections are effective treatments for patients with axial EGs affecting the atlantoaxial junction.

关 键 词：Eosinophilic granuloma Atlantoaxial joint dislocation Local steroid injections Children OSTEOPATHY Posterior surgery Case report 

分 类 号：R726.8[医药卫生—儿科]