A Study on the Atlantoaxial Instability in Children with Down syndrome |
Sa Young Kim, Chan Yung Kim |
Department of Pediatrics, Pusan National University, College of Medicine, Pusan, Korea |
Down 증후군 환아의 환축추 불안정에 대한 고찰 |
김사영, 김찬영 |
부산대학교 의과대학 소아과학교실 |
|
|
Abstract |
To evaluate the atlantoaxial instability in children with Down syndrome, the authors analyzed the 97 children with Down syndrome attending to 2 schools for handicaped children in Pusan.
The results of study were as follows;
1) The incidence of atlantoaxial instability in 97 individuals with Down syndrome was 8(8.3%) in neutral position and in 10(10.3%) in flexion, respectively.
2) The mean atlantoaxial gap was significantly higher in patients with Down syndrome than in the control group(p<0.05).
3) The mean atlantoaxial gap in patients with Down stydrome according neck position was significantly higher in flexion(3.27¡¾1.08mm) than in neutral(2.63¡¾1.18) (p<0.05).
4) When mean atlantoaxial gaps of patients with down syndrome were analyzed according to age groups, young age groups were statistically higher than old age groups in flexion position (p<0.05) but no statistically signigican differences were noted in neutral position.
5) The mean atlantoxialo gap of obese group was slightly higher than those of non-obese group but no statistically significant difference was noted (p<0.05). |
Key Words:
Atlantoaxial instability, Down syndrome |
|