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软骨发育不全性侏儒的寰枢椎不稳:两例报告及文献复习

Atlanto-axial instability in achondroplastic dwarfs: a report of two cases and literature review.

作者信息

Mohindra Sandeep, Tripathi Manjul, Arora Suman

机构信息

Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Pediatr Neurosurg. 2011;47(4):284-7. doi: 10.1159/000335433. Epub 2012 Mar 29.

Abstract

BACKGROUND

Achondroplasia is the commonest form of human dwarfism. The authors report atlanto-axial instability, in consequence to os odontoideum in this subgroup of patients.

METHODS

Two achondroplastic dwarfs harboring atlanto-axial dislocation are described along with radiological findings.

RESULTS

Both children underwent successful internal rigid immobilization, using sublaminar atlanto-axial wiring.

CONCLUSIONS

Craniovertebral junction instability should be evaluated among these children, whenever foramen magnum insufficiency is being considered.

摘要

背景

软骨发育不全是人类侏儒症最常见的形式。作者报告了该亚组患者因齿状突骨导致的寰枢椎不稳。

方法

描述了两名患有寰枢椎脱位的软骨发育不全侏儒症患者及其影像学表现。

结果

两名儿童均通过寰枢椎板下钢丝固定成功进行了内固定。

结论

每当考虑枕大孔狭窄时,都应评估这些儿童的颅颈交界区不稳情况。

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