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At least 883 records · Page 49Linked to original sources
PubMed1980

[Local anomalies and secondary degenerative-dystrophic damage in the craniovertebral region].

Clinical and x-ray studies of patients with focal anomalies of the osteoarticular apparatus of the craniovertebral area demonstrated that half of the cases showed early complications in the form of secondary degenerative-dystrophic lesions. This process is aggravated proportionally to the degree of pronounced interrelation disturbances and overstrain in the craniovertebral area. The secondary degenerative-dystrophic lesions indicate disordered compensation and significantly aggravate the clinical state and working capacity of the patients.

Adolescent↗
PubMed1978

[Bony malformations of the cranio-vertebral junction and its clinical relevance (author's transl)].

A statistical analysis is performed in 86 cases suffering from osseous malformation of the cranio-vertebral junction. The material consists of 71 cases with basilar impression, 8 cases with hypoplasia or absence of the odontoid process, and 7 cases with a congenital atlanto-epistropheal dislocation. The patients are clinically asymptomatic in 23 cases, and are marked by a para-respectively tetraparesis in 28 cases, by bulbar-pontine-cerebellar disorders in 24 cases, and by syringomyelia in 11 cases. A control group is included consisting of 30 cases without neurological symptoms and with a normal radiological finding of the cranio-vertebral region. The following measured values are taken in consideration to perform a statistical calculation using the simple variance analysis: The height of the odontoid process above of McGregor's line, the distance between the back of the odontoid process and the inner limit of the arch of C1, and, concerning the groups with hypoplasia of the odontoid process process and with atlanto-axial dislocation, the narrowing of the spinal canal at the level of C1 dependent on movements of the head. The measured values are referred to the different clinical syndromes and are described and divided according to its statistical significance related to the clinical groups.

Adolescent↗
PubMed1980

Atlantoaxial dislocation and Down's syndrome.

The phenotypic features of Down's syndrome are easily recognized and include characteristic facial features, hypotonia, ligament laxity, transverse palmar creases and mental subnormality. Associated manifestations and complications are also familiar and involve almost every organ system. Congenital heart defects, bowel malformations and a tendency to leukemia are common attendant problems. Less common, however, are defects of the skeletal system; in fact, the most recent edition of a standard pediatric textbook makes no mention of anomalies of the vertebral column. The purpose of this paper is to call attention to the association between Down's syndrome and atlantoaxial dislocation, which in our patient resulted in quadriplegia and eventually death.

Axis, Cervical Vertebra↗
PubMed1981

Myelopathy due to atlanto-axial dislocation in a patient with Down's syndrome and rheumatoid arthritis.

A case of Down's syndrome in association with rheumatoid arthritis is described. The patient has spastic diplegia and atlanto-axial dislocation, probably the result of ligamentous laxity which is common in both Down's syndrome and rheumatoid arthritis. This laxity may have been enhanced by tonsillar or deep cervical infection. The myelopathy was thought to be due to the atlanto-axial dislocation. Spinal fusion may reverse the neurological abnormality in some cases.

Arthritis, Rheumatoid↗
PubMed1984

[Cervical vertebra-induced hearing and equilibrium disorders. Recent clinical aspects].

The contribution of cervical spine disorders to cochleovestibular symptoms was based on the evaluation of patients complaining of dizziness and/or inner ear hearing loss, treated in the ENT Department of Tubingen University between 1977 and 1982. Cervicogenic vertigo was provoked by movements of the cervical spine, but the latter rarely caused tinnitus and never induced hearing loss. The diagnosis between a vascular or proprioceptive nystagmus may be made on the presence of lesions of the cervical spine. These are disorders of the cranio-cervical or the thoraco-cervical region especially and much less often due to osteochondrosis of the vertebrae. The findings of a cervical osteochondrosis has no diagnostic value unless vertigo is provoked by head movements. In cervical vertigo the thoraco-cervical region should be examined to prove a thoracic outlet syndrome. In selected cases operative treatment is possible, eg. transoral resection of the dental process of the axis, resection of the posterior arch of the atlas, myotomy of the anterior scalenus muscle or decompression of the vertebral artery.

Adolescent↗
PubMed1983

The radiology of chronic neck pain: sequelae of occult traumatic lesions.

Occult traumatic lesions of the cervical spine usually involve the smaller, posterior elements of the vertebrae. Chronic neck pain associated with these lesions is intermittent and of variable severity, but with patterns that are fairly characteristic of the osseous lesions. Similarly, the long-term radiographic sequelae occur in fairly predictable patterns. The original osseous injury characteristically involves a fracture deformity and frequently some instability. There is a closed five point suspension system at each of the levels of the lower cervical spine, so that each of these five points is stressed whenever any one of them is deformed. Thus there follows bilateral hypertrophic changes and disc deterioration. Satellite changes also occur. The original deformity usually leads to rotation at the level of the lesion, cervical malalignment, and muscle imbalance. Therefrom the osseous and disc changes associated with chronic torticollis may occur, as well as distant instabilities.

Accidents, Traffic↗
PubMed1978

Acquired os odontoideum. A case report.

A 7-year-old boy presented with os odontoideum after a 5 story fall at 19 months of age, at which time roentgenograms documented a normal odontoid. Current flexion-extension films revealed a marked altlantoaxial instability related to the acquired "os." The treatment consisted of an atlantoaxial arthrodesis. Acquired os odontoideum is a recognized, though uncommon entity in which it is hypothesized that trauma produces vascular insufficiency, with subsequent resorption of the central portion of the odontoid, resulting in the classical features of os odontoideum. It is often associated with instability, with potential danger to the spinal cord. Instability in cases of os odontoideum is a positive indication for atlantoaxial arthrodesis.

Axis, Cervical Vertebra↗
PubMed1982

[Atloido-axoid erosive osteoarthritis. Apropos of 3 cases].

Three cases of unilateral atloido-axis arthropathy are described in women aged 39 to 69 years. The initial diagnosis of arthritis made in view of the severity of the clinical (severe pain and stiffness) and radiological (marked chondrolysis, subchondral erosions), manifestations was contested in the absence of any laboratory abnormality of an inflammatory nature, as well as any bacterial, inflammatory rheumatic or metabolic cause. The final diagnosis made at the time of hospitalisation after 8 to 9 month progression of the disease was osteoarthritis, no subject to any doubt on the basis of the subsequent course. C2-C3 block present in 2 cases was a local factor of joint wear-and-tear. Other severe manifestations of osteoarthritis were seen in 2 patients. By analogy with certain forms of destructive osteoarthritis of the fingers, the term erosive osteoarthritis of the atloido-axis joint is suggested to describe this joint lesion.

Adult↗
PubMedDate not supplied

[Sprains and luxations of the cervical spine in children. Report on 17 cases].

Seventeen cases of sprains and luxations of the cervical spine in children are discussed. Radiological criteria of rotatory sprains and anteroposterior C1-C2 instability are presented in the 6 cases with these lesions, as well as those observed, only after several weeks, in 11 children with inferior cervical spine disorders (3 luxations of which 2 were chronic, and 8 severe sprains). The indications for therapy in each type of lesion are briefly discussed.

Adolescent↗