{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T15:23:56Z","timestamp":1758122636892},"reference-count":16,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"Background:<\/jats:title>Sleep apnea is characterized by repetitive cessation of breathing during sleep. It may be attributed to obstructive, central, or mixed pathologies close to the upper airway resulting in a decreased diameter of the oropharyngeal tract.<\/jats:p><\/jats:sec>Case Description:<\/jats:title>A 36-year-old male with progressive cervicomedullary myelopathy\/quadriparesis exhibited obstructive sleep apnea (OSA) attributed to an anteriorly displaced os odontoideum (OO). Atlantoaxial screw-rod stabilization resulted in improvement of both neurological function and OSA.<\/jats:p><\/jats:sec>Conclusion:<\/jats:title>A symptomatic unstable OO may contribute to suboccipital pain, progressive quadriparesis, vertebrobasilar insufficiency, and OSA. Appropriate operative intervention utilizing atlantoaxial screw-rod stabilization may help to resolve these deficits.<\/jats:p><\/jats:sec>","DOI":"10.25259\/sni-308-2019","type":"journal-article","created":{"date-parts":[[2019,8,25]],"date-time":"2019-08-25T11:55:19Z","timestamp":1566734119000},"page":"125","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Unstable os odontoideum contributing to cervical myelopathy and obstructive sleep apnea"],"prefix":"10.25259","volume":"10","author":[{"given":"Abolfazl","family":"Rahimizadeh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zahed","family":"Malekmohammadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mona","family":"Karimi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ava","family":"Rahimizadeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naser","family":"Asgari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2019,6,28]]},"reference":[{"key":"10.25259\/SNI-308-2019\/ref-1","doi-asserted-by":"crossref","first-page":"E971","DOI":"10.1097\/BRS.0b013e3181c691df","article-title":"Occipitocervical fusion has potential to improve sleep apnea in patients with rheumatoid arthritis and upper cervical lesions","volume":"35","author":"Ataka","year":"2010","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI-308-2019\/ref-2","first-page":"4906863","article-title":"Refractory obstructive sleep apnea in a patient with diffuse idiopathic skeletal hyperostosis","volume":"2016","author":"Darakjian","year":"2016","journal-title":"Case Rep Otolaryngol"},{"key":"10.25259\/SNI-308-2019\/ref-3","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1016\/S0140-6736(94)92088-5","article-title":"Pathogenesis of obstructive sleep apnoea\/ hypopnoea syndrome","volume":"344","author":"Douglas","year":"1994","journal-title":"Lancet"},{"key":"10.25259\/SNI-308-2019\/ref-4","doi-asserted-by":"crossref","first-page":"263","DOI":"10.5664\/jcsm.27497","article-title":"Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults","volume":"5","author":"Epstein","year":"2009","journal-title":"J Clin Sleep Med"},{"key":"10.25259\/SNI-308-2019\/ref-5","doi-asserted-by":"crossref","first-page":"e444","DOI":"10.1097\/SCS.0b013e318260e9ea","article-title":"Cervical osteophytes: A rare cause of obstructive sleep apnea","volume":"23","author":"Eyigor","year":"2012","journal-title":"J Craniofac Surg"},{"key":"10.25259\/SNI-308-2019\/ref-6","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1136\/jnnp.57.3.384","article-title":"Case report: Dysphagia and sleep apnoea associated with cervical osteophytes due to diffuse idiopathic skeletal hyperostosis (DISH)","volume":"57","author":"Hughes","year":"1994","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"10.25259\/SNI-308-2019\/ref-7","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1007\/s00776-011-0043-5","article-title":"Os odontoideum with cervical mylopathy due to posterior subluxation of C1 presenting sleep apnea","volume":"16","author":"Kawaguchi","year":"2011","journal-title":"J Orthop Sci"},{"key":"10.25259\/SNI-308-2019\/ref-8","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1007\/s00586-013-3046-4","article-title":"Sleep apnea and cervical spine pathology","volume":"23","author":"Khan","year":"2014","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI-308-2019\/ref-9","first-page":"33","article-title":"Os odontoideum: A review article","volume":"1","author":"Rahimizadeh","year":"2016","journal-title":"Orthop Res Traumatol"},{"key":"10.25259\/SNI-308-2019\/ref-10","first-page":"142586","article-title":"Atlantoaxial subluxation due to an os odontoideum in an achondroplastic adult: Report of a case and review of the literature","volume":"2015","author":"Rahimizadeh","year":"2015","journal-title":"Case Rep Orthop"},{"key":"10.25259\/SNI-308-2019\/ref-11","first-page":"18","article-title":"Respiratory distress and dysphagia secondary to diffuse idiopathic skeletal hyperostosis: Case report and review","volume":"4","author":"Rahimizadeh","year":"2013","journal-title":"World Spinal Column J"},{"key":"10.25259\/SNI-308-2019\/ref-12","doi-asserted-by":"crossref","first-page":"549","DOI":"10.14444\/5067","article-title":"Atlantoaxial subluxation secondary to unstable os odontoideum in a patient with arrested hydrocephalus due to congenital aqueductal stenosis: A Case report","volume":"12","author":"Rahimizadeh","year":"2018","journal-title":"Int J Spine Surg"},{"key":"10.25259\/SNI-308-2019\/ref-13","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1016\/j.jocn.2008.05.024","article-title":"Anterior C1-2 osteochondroma presenting with dysphagia and sleep apnea","volume":"16","author":"Wang","year":"2009","journal-title":"J Clin Neurosci"},{"key":"10.25259\/SNI-308-2019\/ref-14","doi-asserted-by":"crossref","first-page":"1363","DOI":"10.1164\/rccm.200412-1631SO","article-title":"Pathogenesis of obstructive and central sleep apnea","volume":"172","author":"White","year":"2005","journal-title":"Am J Respir Crit Care Med"},{"key":"10.25259\/SNI-308-2019\/ref-15","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1080\/00016480500416793","article-title":"A case of osteochondroma of the atlas causing obstructive sleep apnea syndrome","volume":"126","author":"Yoshida","year":"2006","journal-title":"Acta Otolaryngol"},{"key":"10.25259\/SNI-308-2019\/ref-16","first-page":"107","article-title":"Complex sleep apnea syndrome in a child with chiari malformation Type 1","volume":"55","author":"Yosunkaya","year":"2013","journal-title":"Turk J Pediatr"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/unstable-os-odontoideum-contributing-to-cervical-myelopathy-and-obstructive-sleep-apnea\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/unstable-os-odontoideum-contributing-to-cervical-myelopathy-and-obstructive-sleep-apnea\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,17]],"date-time":"2021-01-17T10:38:53Z","timestamp":1610879933000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/unstable-os-odontoideum-contributing-to-cervical-myelopathy-and-obstructive-sleep-apnea\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,28]]},"references-count":16,"alternative-id":["10.25259\/SNI-308-2019"],"URL":"https:\/\/doi.org\/10.25259\/sni-308-2019","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,28]]},"article-number":"125"}}