Atlanto-Axial Dislocation with Spinal Cord Compression in a Mongoloid Child: A Case Report.
- Author:
Soo Il KIM
1
;
Yong Pyo HAN
;
Soon Ki HONG
;
Chul HU
;
Hun Joo KIM
Author Information
1. Department of Neurosurgery, Yonsei University, College of Medicine, Wonju, Korea.
- Publication Type:Original Article
- Keywords:
Mongolism(down syndrome);
Physical defects;
Ligament laxity;
Atlanto-axial dislocation;
Spinal cord compression
- MeSH:
Central Nervous System;
Child*;
Dislocations*;
Down Syndrome;
Humans;
Intellectual Disability;
Ligaments;
Spinal Cord Compression*;
Spinal Cord*;
Spine;
Traction
- From:Journal of Korean Neurosurgical Society
1989;18(3):486-490
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Mongolism, which represents about 5% to 10% of all cases of mental deficiency, is a disease entity in which the mental development is associated in a unique way with a large number of physical defects including central nervous system. Tishler and Martel(1965) directed attention to anomalies of the cervical portion of the spine in mongologid patients. Ligament laxity or malformation of the transverse atlanta ligament may allow the CI vertebra to subluxate forward with or without spinal cord compression. The most proper management is reduction by skeletal traction and posterior spinal fusion(C1-2, C1-3, Occiput-C2).
