Abstract
A community survey was conducted in all adults with Down syndrome living in three health districts to see if there was any correlation between radiological and neurological abnormalities which could indicate the presence of atlantoaxial instability. There was no difference in the proportion of individuals with neurological abnormalities in the group with radiological abnormalities suggestive of atlantoaxial instability (6/14) compared with individuals with normal X-rays (50/123) as determined by the chi square test (0.01463: not significant). The clinical and ethical implications for screening of people with Down syndrome living in the community are discussed in view of these findings.
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Selected References
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- Alvarez N., Rubin L. Atlantoaxial instability in adults with Down syndrome: a clinical and radiological survey. Appl Res Ment Retard. 1986;7(1):67–78. doi: 10.1016/0270-3092(86)90019-6. [DOI] [PubMed] [Google Scholar]
- Burke S. W., French H. G., Roberts J. M., Johnston C. E., 2nd, Whitecloud T. S., 3rd, Edmunds J. O., Jr Chronic atlanto-axial instability in Down syndrome. J Bone Joint Surg Am. 1985 Dec;67(9):1356–1360. [PubMed] [Google Scholar]
- Collacott R. A. Atlantoaxial instability in Down's syndrome. Br Med J (Clin Res Ed) 1987 Apr 18;294(6578):988–989. doi: 10.1136/bmj.294.6578.988. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Coria F., Quintana F., Villalba M., Rebollo M., Berciano J. Craniocervical abnormalities in Down's syndrome. Dev Med Child Neurol. 1983 Apr;25(2):252–255. doi: 10.1111/j.1469-8749.1983.tb13751.x. [DOI] [PubMed] [Google Scholar]
- Curtis B. H., Blank S., Fisher R. L. Atlantoxial dislocation in Down's syndrome. Report of two patients requiring surgical correction. JAMA. 1968 Aug 5;205(6):464–465. doi: 10.1001/jama.205.6.464. [DOI] [PubMed] [Google Scholar]
- Davidson R. G. Atlantoaxial instability in individuals with Down syndrome: a fresh look at the evidence. Pediatrics. 1988 Jun;81(6):857–865. [PubMed] [Google Scholar]
- Dzenitis A. J. Spontaneous atlanto-axial dislocation in a mongoloid child with spinal cord compression. Case report. J Neurosurg. 1966 Oct;25(4):458–460. doi: 10.3171/jns.1966.25.4.0458. [DOI] [PubMed] [Google Scholar]
- HINCK V. C., HOPKINS C. E. Measurement of the atlanto-dental interval in the adult. Am J Roentgenol Radium Ther Nucl Med. 1960 Nov;84:945–951. [PubMed] [Google Scholar]
- Hungerford G. D., Akkaraju V., Rawe S. E., Young G. F. Atlanto-occipital and atlanto-axial dislocations with spinal cord compression in Down's syndrome: a case report and review of the literature. Br J Radiol. 1981 Sep;54(645):758–761. doi: 10.1259/0007-1285-54-645-758. [DOI] [PubMed] [Google Scholar]
- Miller J. D., Grace M. G., Lampard R. Computed tomography of the upper cervical spine in Down syndrome. J Comput Assist Tomogr. 1986 Jul-Aug;10(4):589–592. doi: 10.1097/00004728-198607000-00007. [DOI] [PubMed] [Google Scholar]
- Pueschel S. M., Herndon J. H., Gelch M. M., Senft K. E., Scola F. H., Goldberg M. J. Symptomatic atlantoaxial subluxation in persons with Down syndrome. J Pediatr Orthop. 1984 Nov;4(6):682–688. doi: 10.1097/01241398-198411000-00005. [DOI] [PubMed] [Google Scholar]
- Pueschel S. M., Scola F. H. Atlantoaxial instability in individuals with Down syndrome: epidemiologic, radiographic, and clinical studies. Pediatrics. 1987 Oct;80(4):555–560. [PubMed] [Google Scholar]
- Pueschel S. M., Scola F. H., Perry C. D., Pezzullo J. C. Atlanto-axial instability in children with Down syndrome. Pediatr Radiol. 1981 Feb;10(3):129–132. doi: 10.1007/BF00975185. [DOI] [PubMed] [Google Scholar]
- TISHLER J., MARTEL W. DISLOCATION OF THE ATLAS IN MONGOLISM: PRELIMINARY REPORT. Radiology. 1965 May;84:904–906. doi: 10.1148/84.5.904. [DOI] [PubMed] [Google Scholar]
