title: Progressive supra-axial cervical instability in Down syndrome: a case report emphasising the role of extended short-segment fusion.
abstract: 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.
authors.affiliation: Department of Orthopaedic & Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaakob Latiff, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia.
authors.forename: G H
authors.initials: GH
authors.lastname: Tan
authors.forename: K K
authors.initials: KK
authors.lastname: Tan
authors.forename: M Sabarul
authors.initials: MS
authors.lastname: Afian
authors.forename: W F
authors.initials: WF
authors.lastname: Liew
authors.forename: A R
authors.initials: AR
authors.lastname: Mohamad
mesh_terms: 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