| Autor: |
G J, Halko, R, Cobb, M, Abeles |
| Rok vydání: |
1995 |
| Předmět: |
|
| Zdroj: |
The Journal of rheumatology. 22(11) |
| ISSN: |
0315-162X |
| Popis: |
To determine if atlantoaxial subluxation is a complication of Ehlers-Danlos Syndrome (EDS).Observational study of a selected cohort of patients with EDS attending a national meeting. Twenty-six patients with EDS (19 with type III; 3 with type IV; 1 each with types II and I; 2 with undefined subtypes) were radiologically evaluated. Lateral flexion-extension views of the cervical spine in each patient were read in blinded fashion by a radiologist and compared to unblinded interpretations made by a separate radiologist. Measurement was taken from the most inferior aspect of the anterior arch of C1 to the dens along a horizontal plane. The remainder of the radiograph was examined for abnormalities.Two patients with EDS type IV had radiographic evidence of atlantoaxial subluxation (p = 0.013 Fisher's exact test). Evidence of horizontal translation between vertebral bodies below C2 was noted in 3 patients. Cervical arthrosis was present in 9.Atlantoaxial subluxation may be a more common finding in persons with type IV EDS than previously thought. Examination of the cervical spine radiographically should be considered before administering general anesthesia to these patients. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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