To the Occiput or Not? C1–C2 Ligamentous Laxity in Children with Down Syndrome
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Commentary on: “To the Occiput or Not? C1–C2 Ligamentous Laxity in Children with Down Syndrome”
Siemionow and Chou review the surgical management of atlantoaxial instability in the context of Down syndrome, using two interesting illustrative cases with different craniocervical abnormalities (atlantoaxial rotatory subluxation and os odontoideum). Both patients present with significant craniocervical spinal cord compression, and in this context, they highlight the specific case nuances that...
متن کاملTo the Occiput or Not? C1–C2 Ligamentous Laxity in Children with Down Syndrome
Study Design Retrospective case review. Objective Atlantoaxial instability with and without basilar invagination poses a considerable challenge in management regarding reduction, surgical approach, decompression, instrumentation choice, and extent of fusion. A variety of strategies have been described to reduce and stabilize cranial settling with basilar invagination. Modern instrumentation opt...
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http://dx.doi.org/10.1016/j.ejmhg.2014.10.005 1110-863
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ژورنال
عنوان ژورنال: Evidence-Based Spine-Care Journal
سال: 2014
ISSN: 1663-7976,1869-4136
DOI: 10.1055/s-0034-1386749