![]() ![]() Fax (0)115 962 article was first published on the site in 2002. p1212-1213.ĭown’s Syndrome Medical Information ServicesĬhildren’s Centre, City Hospital Campus, Nottingham NG5 1PB. Cervical spine X-ray was obtained in each follow-up and evaluated for spine alignment and any implant-related complications. (1995) Don't twist my child’s head off : iatrogenic cervical dislocation. Casey,AT.,O’Brien,M.,Kumar,V.,Hayward,RD.,Crockard,HA.(1993) Risk of sports activities in children with Down's syndrome and atlantoaxial instability. Cervical Spine X-Ray: Flexion & Extension Views (purpose, contraindications) PURPOSE: - Ordered 7-10 days after injury when spine is less tender - Used to determine the integrity of supporting soft tissues & ligaments (i.e., evaluates for +/- ligamentous instability ) CONTRAINDICATIONS: 1. Cremers,MJG.,Bol,E.,de Roos,F.,van Gijn,J.One third of injuries occur at the level of C2, and one half of injuries occur at the level of C6 or C7. Most cervical spine fractures occur predominantly at two levels. The cervical spine flexion and extension views demonstrate the seven vertebrae of the cervical spine when the patient is in a lateral position. American Academy of Paediatrics Committee on Genetics.(1994) Health Supervision for children with Down syndrome. Up to 17 of patients have a missed or delayed diagnosis of cervical spine injury, with a risk of permanent neurologic deficit after missed injury of 29.Cervical spine instability in people with Down syndrome. Archives of Disease in Childhood, 72: 115-119 Morton,RE.,Ali Khan,M.,Murray-Leslie,C.,Elliott,S.(1995) Atlantoaxial instability in Down's syndrome: a five year follow up study plus Chapman,S., Commentary.(1993) Radiological assessment of the atlantoaxial distance in Down's syndrome. Cremers,MJG.,Ramos,L.,Bol,E.,van.Gijn,J.(1991) Clinical predictors and radiological reliability in atlantoaxial subluxation in Down's syndrome. Saad,KFG., (1995) A lethal case of atlantoaxial dislocation in a 56-year-old woman with Down's syndrome. ![]() Atlantoaxial Instability in Individuals With Down Syndrome: A Fresh Look at the Evidence. An X-ray of the neck, often called a cervical spine X-ray, is a medical imaging procedure used to visualize the bones and some soft tissues in the neck region. If a person with Down's syndrome develops pain behind the ear or elsewhere in the neck, abnormal head posture, torticollis, deterioration of gait, manipulative skills, or bowel and/or bladder control they should be referred immediately to an appropriate specialist (usually a neurologist or a spinal orthopaedic surgeon).Although the risk of injury is small, if a person with Down's syndrome is involved in a road traffic accident personnel involved in their care should be alerted to the possibility of cervical spine instability and of the need for particular care relative to this (1,5).Although the risk of injury is small, if any child or adult needs an anaesthetic the anaesthetist and recovery room staff must always be reminded of the diagnosis so that appropriate care can be taken to avoid cervical injury whilst manipulating the head and neck in the unconscious subject (9).Children with Down's syndrome should not be barred from sporting activities because there is no evidence that participation in sports increases the risk of cervical spine injury any more than for the general population (6,8).In particular, cervical spine X-rays in children have no predictive validity for subsequent acute dislocation/subluxation at the atlantoaxial joint (3,4,5,6,7) Currently there is no screening procedure which can predict those at risk.People with Down's Syndrome have a small risk for acute or chronic neurological problems caused by cervical spine instability (1,2).One of a set of guidelines drawn up by the Down's Syndrome Medical Interest Group: doi:10.1016/j.mayocp.2016.06.007.Down's Syndrome Medical Interest Group (UK)īasic medical surveillance essentials for people with Down's Syndrome. Evidence-based evaluation of complementary health approaches for pain management in the United States. Manipulation and mobilisation for neck pain contrasted against an inactive control or another active treatment. Management of non-radicular neck pain in adults. Cervical spondylosis and spondylotic cervical myelopathy. Treatment and prognosis of cervical radiculopathy. American Academy of Orthopaedic Surgeons. Cervical spondylosis (arthritis of the neck).Clinical features and diagnosis of cervical radiculopathy. Evaluation of the patient with neck pain. In: DeLee, Drez, and Miller's Orthopaedic Sports Medicine: Principles and Practice. ![]()
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