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Degenerative changes in the cervical spine in Down's syndrome

1990; Wiley; Volume: 34; Issue: 2 Linguagem: Inglês

10.1111/j.1365-2788.1990.tb01527.x

1365-2788

Åse Tangerud, Arnulf Hestnes, Trond Sand, S. SUNNDALSFOLL,

Occupational Health and Safety Research

ABSTRACT. It is well established that there is an increased frequency of atlanto‐axial instability in Down's syndrome. In two out of the 27 patients with Down's syndrome who were examined, there was an atlanto‐axial dislocation, bus without any corresponding neurological symptoms. However, scrutiny of me X‐rays revealed many cases with marked degenerative changes, particularly in the upper part of the cervical spine. The degenerative changes in Down's syndrome patients were compared with those in age‐ and sex‐matched patients examined because of cerviealgia. Patients examined because of acute neck traumatas constituted a second control group. I he results indicate that there is a significant increase in degenerative changes in the upper part of the cervical spine in Down's syndrome.