Dubousset J, Queneau P
Rev Chir Orthop Reparatrice Appar Mot. 1981;67(3):383-94.
Based the review of 55 children of whom 19 were treated surgically, the authors have designed 6 anatomo-clinic entities. Each one of these has its own treatment ranging from nothing to decompression of the neural axis with arthrodesis. Relationship between bones and joints and nervous tissues are emphasized with the manner to appreciate them clinically and with X rays or computerised tomography. This has always to be done before any surgical treatment. The goals of this surgery are: --to give perfect stability and acceptable morphologic result of the relation between head and neck, and neural decompression --to cure, and prevent perhaps, progressive myelopathy of which we know the bad prognosis when discovered and treated in adult life.
基于对55名儿童（其中19名接受了手术治疗）的回顾，作者设计了6种解剖临床实体。其中每一种都有其自身的治疗方法，从无需治疗到进行神经轴减压并融合关节。强调了骨骼与关节和神经组织之间的关系，以及临床评估它们的方式，还有通过X射线或计算机断层扫描进行评估。这在任何手术治疗之前都必须进行。该手术的目标是：——给予头颈部关系完美的稳定性和可接受的形态学结果，并进行神经减压——治愈并可能预防进行性脊髓病，我们知道这种病在成年期发现并治疗时预后不良。
