PMC7447345_01
Magnetic resonance imaging findings of the cervical spine. (a) Sagittal T1-weighted image showing retropharyngeal soft-tissue swelling (arrow). (b) Sagittal T2-weighted image showing an edema signal in the odontoid process (arrow). (c) Sagittal contrast-enhanced T1-weighted image showing enhancement in the odontoid process with retropharyngeal soft-tissue swelling (arrows).
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Cervical magnetic resonance imaging revealed intensity changes in the atlas and axis and formation of a retropharyngeal abscess (Fig. 1).
Computed tomography reconstructed images obtained 1 week after the start of treatment showing destructive changes at the base of the odontoid process of the axis (arrow).
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Computed tomography revealed osteolysis at the base of the odontoid process of the axis (Fig. 2).
Halo vest immobilization with posterior stretching band support (arrows). The band was fixed with bilateral front pillars and was supported from the rear part of the patient's neck.
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By providing support using a stretching band from the rear to the mid-to-lower cervical spine, neck pain during movement was alleviated (Fig. 3).
Radiography findings at a 2-year follow-up showing bone healing of the axis.
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After 3 months, oral antibiotic therapy was discontinued, and neck pain or recurrence of inflammation was not observed after 2 years (Fig. 4).