Progressive congenital torticollis in VATER association syndrome.
METHODS
A family study to reach the diagnosis of a multiple malformation syndrome.


OBJECTIVE
To determine the cause of torticollis, in a patient with the VATER association.


BACKGROUND
The VATER association is a combination of vertebral anomalies, anal stenosis, tracheo-esophageal fistula, and radial anomalies. It needs a multidisciplinary approach with a major input from orthopedic surgeons. Torticollis in this condition has not been reported before.


METHODS
Detailed family history and radiologic study using plain radiographs and three-dimensional-reconstruction.


RESULTS
Bony abnormalities at the base of the skull and upper cervical vertebrae were found.


CONCLUSIONS
It is postulated that the bony abnormalities were the underlying cause of the neurologic problem.
Al Kaissi
Ali
A
Service d'Orthopedie Infantile-Hopital d'Enfants de Tunis, Tunis, Tuvalu. ali.alkaissi@osteologie.at
Ben Chehida
Farid
F
Safi
Hatem
H
Nassib
Nabil
N
Ben Ghachem
Maher
M
Gharbi
Hassan
H
Grill
Franz
F
D000015:Abnormalities, Multiple / Q000175:diagnosis; D001006:Anus, Imperforate / Q000150:complications*; D002574:Cervical Vertebrae / Q000002:abnormalities* / Q000000981:diagnostic imaging; D002648:Child; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D017534:Radial Artery / Q000002:abnormalities*; D019291:Skull Base / Q000002:abnormalities* / Q000000981:diagnostic imaging; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D014103:Torticollis / Q000151:congenital* / Q000209:etiology*; D014138:Tracheoesophageal Fistula / Q000150:complications*