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Atlanto-axial subluxation

Authoring team

Atlanto-axial subluxation during vigorous physical activity is more common in individuals with Down's syndrome than in the general population (1).

Neck radiology does not reliably predict the risk of spinal cord compression. Clinicians should be alert to the clinical features of cervical cord compression.

Reference:

  • Davidson RG. (1988). Atlanto-axial instability in individuals with Down's syndrome: a fresh look at the evidence. Pediatrics, 81, 857-65.

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