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Journal of Korean Neurosurgical Society 1989;18(3): 486-490.
Atlanto-Axial Dislocation with Spinal Cord Compression in a Mongoloid Child: A Case Report.
Soo Il Kim, Yong Pyo Han, Soon Ki Hong, Chul Hu, Hun Joo Kim
Department of Neurosurgery, Yonsei University, College of Medicine, Wonju, Korea.
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).
Key Words: Mongolism(down syndrome); Physical defects; Ligament laxity; Atlanto-axial dislocation; Spinal cord compression
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