| Cervical spine instability in children with Goldenhar's syndrome. | |
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MedLine Citation:
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PMID: 12387536 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To study the vertebral involvement of the cervical spine, in particular the stability of C1-C2, in children with proven Goldenhar's syndrome. DESIGN: A case review. SETTING: The Children's Hospital of Eastern Ontario, Ottawa. PATIENTS: Eight children who had a minimum of 2 out of 3 Goldenhar criteria plus other strong associations with the syndrome and for whom detailed radiographic spinal assessment, including flexion-extension views of the cervical spine and computed tomography of the congenital anomalies, were available. OUTCOME MEASURES: Radiographic findings. RESULTS: Seven children demonstrated cervical spine anomalies. Of particular concern was the high incidence of C1-C2 instability in 3 children, 2 of whom required occiput to C2 fusion. The presence of hemivertebrae and failures of segmentation were most common and resulted in thoracic scoliosis, leading to spinal fusion in 2 children. CONCLUSIONS: In patients with Goldenhar's syndrome the cervical spines must be monitored carefully for C1-C2 subluxation before any proposed surgery for other malformations associated with the syndrome, so that any instability can be identified to avoid cord impingement during a general anesthetic. |
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Authors:
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David Healey; Merv Letts; James G Jarvis |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Canadian journal of surgery. Journal canadien de chirurgie Volume: 45 ISSN: 0008-428X ISO Abbreviation: Can J Surg Publication Date: 2002 Oct |
Date Detail:
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Created Date: 2002-10-21 Completed Date: 2002-11-19 Revised Date: 2007-08-16 |
Medline Journal Info:
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Nlm Unique ID: 0372715 Medline TA: Can J Surg Country: Canada |
Other Details:
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Languages: eng Pagination: 341-4 Citation Subset: IM |
Affiliation:
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Division of Pediatric Orthopaedics, Children's Hospital of Eastern Ontario, University of Ottawa. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Cervical Vertebrae / abnormalities*, radiography, surgery Child Child, Preschool Female Goldenhar Syndrome / complications* Humans Joint Instability / complications, radiography, surgery Male Preoperative Care Spinal Cord Compression / etiology, prevention & control Spinal Diseases / complications*, radiography*, surgery Spine / abnormalities, radiography Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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