Braakhekke J P, Gabreëls F J, Renier W O, van Rens T J, Thijssen H O, Begeer J H
Clin Neurol Neurosurg. 1985;87(3):173-9. doi: 10.1016/0303-8467(85)90003-4.
Cranio-vertebral malformations, especially atlanto-axial dislocation, are frequently seen in Down patients. However, symptomatic forms in mongolism are rare. Pyramidal signs have a signal value. In symptomatic malformations surgical treatment should be advised, i.e. posterior fixation after pre-operative reduction by traction or transoral odontoidectomy if no reduction is achieved.
颅颈畸形，尤其是寰枢椎脱位，在唐氏患者中很常见。然而，蒙古症患者出现症状性的形式很少见。锥体束征具有重要意义。对于有症状的畸形，应建议进行手术治疗，即术前通过牵引复位后行后路固定，若无法复位则行经口齿状突切除术。
