Department of Neurosurgery, K.E.M. Hospital and Seth G.S. Medical College, Parel, Mumbai, India; Lilavati Hospital and Research Centre, Bandra (E), Mumbai, India.
Department of Neurosurgery, K.E.M. Hospital and Seth G.S. Medical College, Parel, Mumbai, India.
World Neurosurg. 2020 Dec;144:39-42. doi: 10.1016/j.wneu.2020.07.223. Epub 2020 Aug 8.
Musculoskeletal and neural alterations secondary to chronic atlantoaxial instability are evaluated.
An 11-year-old girl presented with major symptoms of progressively worsening dorsal kyphoscoliosis (spinal kyphoscoliosis [SKS]). In addition to dorsal SKS, investigations revealed multiple craniovertebral and cervical spinal musculoskeletal abnormalities, Chiari formation, and syringomyelia. Dynamic imaging revealed atlantoaxial instability. Atlantoaxial stabilization resulted in rapid improvement in SKS, regression of tonsillar herniation, and resolution of syrinx.
The experience with the case showcases wide ranged spinal consequences as a result of chronic atlantoaxial instability.
评估慢性寰枢椎不稳定引起的肌肉骨骼和神经改变。
一名 11 岁女孩主要表现为进行性加重的后凸脊柱侧凸（脊柱侧凸[SKS]）。除了后凸脊柱侧凸外，检查还发现多处颅颈和颈椎脊柱肌肉骨骼异常、小脑扁桃体形成和脊髓空洞症。动态影像学显示寰枢椎不稳定。寰枢椎稳定化治疗导致 SKS 迅速改善，扁桃体疝回纳，脊髓空洞缩小。
该病例的经验表明，慢性寰枢椎不稳定会导致广泛的脊柱后果。
