Progressive supra-axial cervical instability in Down syndrome: a case report emphasising the role of extended short-segment fusion.
We report a case of upper cervical instability associated with Down syndrome to highlight its potential progression to inflict cord compression and the rationale for surgical decompression and extended short segment occipito-axial fusion.
Tan
G H
GH
Department of Orthopaedic & Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaakob Latiff, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia.
Tan
K K
KK
Afian
M Sabarul
MS
Liew
W F
WF
Mohamad
A R
AR
D002574:Cervical Vertebrae; D002648:Child; D004314:Down Syndrome / Q000150:complications*; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000209:etiology* / Q000601:surgery*; D013117:Spinal Cord Compression / Q000209:etiology; D013123:Spinal Fusion; D021801:Zygapophyseal Joint