Spinal Complications in Genetic Syndromes – Case Reports


Authors: M. Jakubíková 1;  I. Příhodová 1;  M. Barna 2;  J. Štulík 2;  P. Vaněk 3;  V. Beneš;  S. Nevšímalová 1
Authors‘ workplace: Neurologická klinika a Centrum klinických neurověd 1. LF UK a VFN v Praze 1;  Spondylochirurgické oddělení III. chirurgické kliniky 1. LF UK a FN v Motole, Praha 2;  Neurochirurgická klinika 1. LF UK a ÚVN Praha 3
Published in: Cesk Slov Neurol N 2011; 74/107(4): 482-485
Category: Case Report

Overview

Distinct genetic syndromes (achondroplasia, Down’s syndrome) are associated with congenital or degenerative vertebral abnormalities and with involvement of the ligamentous apparatus. In patients with achondroplasia, vertebral deformities may result in spinal stenosis, nerve root compression and development of myelopathy. The most common spinal complication in Down’s syndrome is atlanto-axial instability. This condition is associated with a shift of C1/C2 vertebrae and subsequent compression of dorsal roots, spinal cord and the development of cervical myelopathy. Two case reports of patients with these genetic disorders are presented. Surgical intervention was considered necessary in both of them.

Key words:
achondroplasia – Down´s syndrome – spinal stenosis – atlantoaxial instability – spinal fusion – decompression laminectomy


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Labels
Paediatric neurology Neurosurgery Neurology

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Czech and Slovak Neurology and Neurosurgery


2011 Issue 4

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