Atlantoaxial subluxation due to an Os Odontoideum in an acho
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The authors report the first example of an adult achondroplastic dwarf with progressive quadriparesis secondary to atlantoaxial subluxation as a consequence of an os odontoideum. Actually, the craniocervical region is a frequent site of compression and myelopathy in achondroplasia particularly in children as a result of the small foramen magnum and hypertrophied opisthion. Moreover, very rarely in achondroplastic patients, the coexistence of atlantoaxial instability as the sequel of os odontoideum can result in further compression of the already compromised cervicomedullary neural tissues, the scenario that has been reported only in five achondroplastic children. Herein, a 39-year-old achondroplastic male suffering such an extremely rare combination is presented.

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