Document Detail

Atlanto-axial dislocation in Down's syndrome. Report of two cases requiring surgical correction.
MedLine Citation:
PMID:  2940706     Owner:  NLM     Status:  MEDLINE    
Two cases of symptomatic atlanto-axial dislocation in association with Down's syndrome are reported. The first patient showed spinal cord compression and had an ossiculum terminale; the second showed neck pain and had anteriorly inclined facet joint of the axis. Complete reduction was not obtained in either case. Both patients were treated successfully by posterior fusion of C1 and C2 in the maximally obtained position of reduction. In cases of symptomatic atlanto-axial dislocation when the spinal cord is at risk, surgical stabilization is the treatment of choice.
M Kobori; H Takahashi; Y Mikawa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Spine     Volume:  11     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1986 Apr 
Date Detail:
Created Date:  1986-07-01     Completed Date:  1986-07-01     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  195-200     Citation Subset:  IM    
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MeSH Terms
Atlanto-Axial Joint* / radiography
Cervical Vertebrae / radiography,  surgery
Dislocations / complications,  radiography,  surgery*
Down Syndrome / complications*
Postoperative Care
Spinal Cord Compression / etiology,  radiography
Spinal Fusion / methods
Traction / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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