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Progressive supra-axial cervical instability in Down syndrome: a case report emphasising the role of extended short-segment fusion

Tan GH 1 , Tan KK 2 , Afian MS 3 , Liew WF 4 , Mohamad AR 5

Affiliations 

  • 1 G H Tan, MS (Orth). Department of Orthopaedic & Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaakob Latiff, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia
  • 2 K K Tan, MS (Orth). Department of Orthopaedic & Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaakob Latiff, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia
  • 3 M Sabarul Afian, MS (Orth). Department of Orthopaedic & Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaakob Latiff, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia
  • 4 W F Liew, MMed (Radiol). Department of Radiology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaakob Latiff, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia
  • 5 A R Mohamad, MS (Orth). Department of Orthopaedic & Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaakob Latiff, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia
Med J Malaysia, 2005 Jul;60 Suppl C:111-3.
PMID: 16381295

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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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