Kobori M, Takahashi H, Mikawa Y
Spine (Phila Pa 1976). 1986 Apr;11(3):195-200.
Two cases of symptomatic atlanto-axial dislocation in association with Down's syndrome are reported. The first patient showed spinal cord compression and had an ossiculum terminale; the second showed neck pain and had anteriorly inclined facet joint of the axis. Complete reduction was not obtained in either case. Both patients were treated successfully by posterior fusion of C1 and C2 in the maximally obtained position of reduction. In cases of symptomatic atlanto-axial dislocation when the spinal cord is at risk, surgical stabilization is the treatment of choice.
报告了两例与唐氏综合征相关的症状性寰枢椎脱位病例。第一例患者表现为脊髓受压且有终末小骨；第二例表现为颈部疼痛且枢椎小关节面朝前倾斜。两例均未实现完全复位。两名患者均在最大程度复位的位置通过C1和C2后路融合术成功治疗。在有症状性寰枢椎脱位且脊髓有风险的病例中，手术稳定化是首选治疗方法。
