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Spinal cord injury in partial Down syndrome.
Archives of Physical Medicine and Rehabilitation
|August 1, 1987
Summary
Spinal cord injury (SCI) is a risk for individuals with Down syndrome due to neck instability. This case highlights increased SCI risk in partial Down syndrome, emphasizing factors like ligamentous laxity and atlantoaxial subluxation.
Area of Science:
- Neurology
- Genetics
- Orthopedics
Background:
- Spinal cord injury (SCI) is a known complication in individuals with Down syndrome.
- Atlantoaxial instability and ligamentous laxity are commonly associated with Down syndrome, increasing cervical spine vulnerability.
Observation:
- A case study involving a patient with partial Down syndrome who sustained a cervical spine injury is presented.
- The injury resulted in incomplete quadriplegia, indicating a significant neurological deficit.
Findings:
- Ligamentous laxity, atlantoaxial subluxation, odontoid abnormalities, neck inflammation, and young age (under eight years) are identified as potential risk factors for SCI in partial Down syndrome.
- These factors contribute to a higher susceptibility to cervical spine trauma and subsequent neurological impairment.
Implications:
- Early recognition and management of these risk factors are crucial for preventing SCI in children with partial Down syndrome.
- This case underscores the need for heightened vigilance and tailored screening protocols for cervical spine abnormalities in this population.