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Progressive congenital torticollis in VATER association syndrome
Ali Al Kaissi1, Farid Ben Chehida, Hatem Safi
1Service d'Orthopedie Infantile-Hopital d'Enfants de Tunis, Tunis, Tuvalu. ali.alkaissi@osteologie.at
Study Design:
A family study to reach the diagnosis of a multiple malformation syndrome.
Objective:
To determine the cause of torticollis, in a patient with the VATER association.
Summary Of Background Data:
The VATER association is a combination of vertebral anomalies, anal stenosis, tracheo-esophageal fistula, and radial anomalies. It needs a multidisciplinary approach with a major input from orthopedic surgeons. Torticollis in this condition has not been reported before.
Methods:
Detailed family history and radiologic study using plain radiographs and three-dimensional-reconstruction.
Results:
Bony abnormalities at the base of the skull and upper cervical vertebrae were found.
Conclusions:
It is postulated that the bony abnormalities were the underlying cause of the neurologic problem.
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