UNSTABLE CERVICAL SPINE ABNORMALITIES IN CHILDREN
https://doi.org/10.14531/ss2008.3.16-20
Abstract
According to their own experience and literature evidence the authors suggested to divide unstable cervical spine abnormalities in children into two groups: primary or secondary unstable ones. Primary unstable cervical spine abnormalities require maximally early surgical treatment. Secondary unstable cervical spine abnormalities require outpatient observation and preventive conservative treatment. Surgical fixation is indicated in case of inefficacy of conservative treatment or development of neurological instability.
About the Authors
Aleksandr Vadimovich Gubin
St. Petersburg State Pediatric Medical Academy
Russian Federation
Russian Federation
Eduard Vladimirovich Ulrikh
St. Petersburg State Pediatric Medical Academy
Russian Federation
Russian Federation
References
1. Allsopp G., Griffiths S., Sqouros S. Cervical disc prolapse in childhood associated with Klippel-Feil syndrome // Childs Nerv. Syst. 2001. Vol. 17. P. 69–70.
2. Berk M.E., Tabatznik B. Cervical kyphosis from posterior hemivertebrae with brachyphalangy and congenital optic atrophy // J. Bone Joint Surg. Br. 1961. Vol. 43. P. 77–86.
3. Cattell H.S., Filtzer D.L. Pseudosubluxation and other normal variations in the cervical spine in children. A study of one hundred and sixty children // J. Bone Joint Surg. Am. 1965. Vol. 47. P. 1295–1309.
4. Fielding J.W., Hensinger R.N., Hawkins R.J. Os Odontoideum // J. Bone Joint Surg. Am. 1980. Vol. 62. P. 376–383.
5. Guille J.T., Sherk H.H. Congenital osseous anomalies of the upper and lower cervical spine in children // J. Bone Joint Surg. Am. 2002. Vol. 84. P. 277–288.
6. Harris J. The cervicocranium: its radiographic assessment // Radiology. 2001. Vol. 218. P. 337–351.
7. Hall J.E., Simmons E.D., Danylchuk K., et al. Instability of cervical spine and neurological involvement in Klippel-Feil syndrome. A case report // J. Bone Joint Surg. Am. 1990. Vol. 72. P. 460–462.
8. Johnston C.E.2nd, Birch J.G., Daniels J.L. Cervical kyphosis in patients who have Larsen syndrome // J. Bone Joint Surg. Am. 1996. Vol. 78. P. 538–545.
9. Naqib M.G., Maxwell R.E., Chou S.N. Klippel-Feil syndrome in children: clinical features and management // Childs Nerv. Syst. 1985. Vol. 1. P. 255–263.
10. Samartzis D., Lubicky J.P., Herman J., et al. Symptomatic cervical disc herniation in a pediatric Klippel-Feil patient: the risk of neural injury associated with extensive congenitally fused vertebrae and a hypermobile segment // Spine. 2006. Vol. 31. P. 335–338.
11. Samartzis D.D., Herman J., Lubicky J.P., et al. Classification of congenitally fused cervical patterns in Klippel-Feil patients: epidemiology and role in the development of cervical spine-related symptoms // Spine. 2006. Vol. 31. P. 798–804.
12. Schwab J.S., Diangelo D.J., Foley K.T. Motion compensation associated with single-level cervical fusion: where does the lost motion go? // Spine. 2006. Vol. 31. P. 2439–2448.
13. Semine A.A., Ertel A.N., Goldberg M.J., et al. Cervical-spine instability in children with Down syndrome (trisomy 21) // J. Bone Joint Surg. Am. 1978. Vol. 60. P. 649–652.
14. Shen F.H., Samartzis D., Herman J., et al. Radiographic assessment of segmental motion at the atlantoaxial junction in the Klippel-Feil patient // Spine. 2006. Vol. 31. P. 171–177.
15. Yamazaki M., Akazawa T., Koda M., et al. Surgical simulation of instrumented posterior occipitocervical fusion in a child with congenital skeletal anomaly: case report // Spine. 2006. Vol. 31. P. E590–E594.
Review
For citations:
Gubin A.V., Ulrikh E.V. UNSTABLE CERVICAL SPINE ABNORMALITIES IN CHILDREN. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2008;(3):016-020. (In Russ.) https://doi.org/10.14531/ss2008.3.16-20
Email this article 