Thoracic scoliosis and restricted neck motion: A new syndrome?. A report of six cases

被引:10
作者
Floman Y. [1 ,2 ]
机构
[1] Spine Surgery Unit, Hadassah University Hospital, Hebrew Univ. Hadassah Med. Sch., K., Jerusalem 91120
[2] Alyn Children's Orthopaedic Hospital, Jerusalem
关键词
Restricted neck motion; Scoliosis;
D O I
10.1007/s005860050046
中图分类号
学科分类号
摘要
The cases of six adolescent males with a mild thoracic scoliosis of unknown etiology and a marked limitation of neck flexion are reported. All six complained of mild thoracic spine pain and were 13-17 years old at the onset of their symptoms. In addition to the thoracic scoliosis, all were found to have a marked limitation of neck flexion. They were unable to touch their chest wall with their chin. None had a positive family history of scoliosis. Radiological examination revealed a thoracic scoliosis of 10°- 40°, no abnormalities were detected on cervical spine plain radiographs. Extensive investigations, including MRI of the entire spine, failed to disclose the cause of the spinal deformity or the mechanism causing the limitation of neck motion. Apart from the limited cervical flexion and mild pain, this condition was found to be benign and the spine deformity to be mild or moderate in nature and with limited progression. Review of the literature failed to identify similar cases.
引用
收藏
页码:155 / 157
页数:2
相关论文
共 13 条
  • [1] Bharucha E.P., Dastur H.M., Craniovertebral anomalies (a report of 40 cases), Brain, 87, pp. 469-480, (1964)
  • [2] Breig A., Overstretching and circumscribed pathological tension on the spinal cord. A basic cause of symptoms in cord disorders, J Biomech, 3, pp. 7-9, (1970)
  • [3] DeMuth W.W., Schwenker E.P., MacEwen G.D., Idiopathic contracture of the cervical spine: A report of two cases, J Pediatr Orthop, 10, pp. 794-796, (1990)
  • [4] Hensinger R.N., Lang J.R., MacEwen G.D., Klippel-Feil syndrome: A constellation of associated anomalies, J Bone Joint Surg [Am], 56, pp. 1246-1253, (1974)
  • [5] Hensinger R.N., DeVito P.D., Ragsdale C.G., Changes in the cervical spine in juvenile rheumatoid arthritis, J Bone Joint Surg [Am], 68, pp. 189-198, (1986)
  • [6] Klippel M., Feil A., Un cas d'absence des vertèbres cervicales avec cage thoracique remonant jusqu'a la base du craine, Nouv Icon Salpetrière, 25, pp. 223-250, (1912)
  • [7] Reid J.D., Effects of flexion extension movements of the head and spine upon the spinal cord and nerve roots, J Neurol Neurosurg Psychiatry, 23, pp. 214-221, (1960)
  • [8] Shapiro F., Specht L., Orthopedic deformities in Emery-Dreifuss muscular dystrophy, J Pediatr Orthop, 11, pp. 336-340, (1991)
  • [9] Simmons E.D., Graziano G.P., Heffner R.R., Muscle disease as a cause of kyphotic deformity in ankylosing spondylitis, Sixth Annual Meeting of the North American Spine Society, (1991)
  • [10] Whitmer G.G., Davis R.J., Bell D.F., Hanging head sign as a presenting feature of spinal cord neoplasm: A report of four cases, J Pediatr Orthop, 13, pp. 322-324, (1993)