Document Detail


Complications of posterior arthrodesis of the cervical spine in patients who have Down syndrome.
MedLine Citation:
PMID:  1836215     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ten patients who had Down syndrome and had had a posterior arthrodesis of the upper cervical spine were studied. The mean age at the time of the operation was 8.9 years, and the patients had been followed for three days to forty-nine months. Complications related to the operation occurred in all patients. They included infection and dehiscence at the site of the wound, incomplete reduction of the atlanto-axial joint, instability of the adjacent motion segment, neurological sequelae, resorption of the autogenous bone graft, and death in the postoperative period. Resorption of the bone graft, which occurred in six of the patients, has not previously been reported in patients who have Down syndrome, to our knowledge. Several theoretical mechanisms for this complication are proposed. We recommend non-operative management for patients who have Down syndrome and atlanto-axial instability without neurological signs or symptoms. If the severity of symptoms necessitates a posterior arthrodesis, a high rate of complications must be anticipated.
Authors:
L S Segal; D S Drummond; R M Zanotti; M L Ecker; S J Mubarak
Related Documents :
22700075 - Emergency double balloon enteroscopy: a feasible and promising diagnostic as well as po...
21874945 - Allograft oats: decision-making and operative steps.
19877775 - Management of osteoblastoma and osteoid osteoma of the spine in childhood.
1749025 - Management of transperitoneal gunshot wounds of the spine.
303175 - The diagnosis of the site of upper gastrointestinal haemorrhage in patients with establ...
20657685 - A medico-legal review of cases involving quadriplegia following cervical spine surgery:...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  73     ISSN:  0021-9355     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  1991 Dec 
Date Detail:
Created Date:  1992-01-23     Completed Date:  1992-01-23     Revised Date:  2010-10-25    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1547-54     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery, Children's Hospital of Philadelphia, Pennsylvania 19104.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Atlanto-Axial Joint / radiography
Atlanto-Occipital Joint / radiography
Cervical Vertebrae / radiography,  surgery*
Child
Child, Preschool
Down Syndrome / complications*
Female
Humans
Joint Instability / complications
Male
Spinal Diseases / complications,  radiography,  surgery*
Spinal Fusion / adverse effects*

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


Previous Document:  Complete putative metal finger and leucine zipper structures of CRE-BP1 are required for the E1A-ind...
Next Document:  Effects of litigation on maintenance of psychological symptoms after severe hand injury.