Surgical Treatment of Cervical Kyphosis and Atlantoaxial Dislocation in a Child With Loeys-Dietz Syndrome: A Case Report and Literature Review.

Qiu-Qi Zhang, Yue-Hui Zhang, Zhi-Hui Liang, Jia Song, Jiang Shao

Journal: Clinical spine surgery 2024;37(5):199-202

PMID: 37735759

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Abstract

We report the case of a 3-year-old child with Loeys-Dietz syndrome, a rare genetic connective tissue disorder. The young girl had concurrent cervical kyphosis, atlantoaxial dislocation (AAD), and spinal cord compression. Posterior occipitocervical fusion was performed. Postoperative examination and clinical manifestations confirmed that all pedicle screws were satisfactorily placed, cervical kyphosis and AAD were corrected, and spinal cord compression was relieved. At the 1-year postoperative follow-up, the patient had recovered well, indicating that our operation was successful. To the best of our knowledge, this is the first reported surgical case of cervical kyphosis and AAD caused by Loeys-Dietz syndrome.

Address: Spine Center, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

DOI: 10.1097/BSD.0000000000001535

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MeSH Terms: Humans, Loeys-Dietz Syndrome, Female, Atlanto-Axial Joint, Kyphosis, Child, Preschool, Joint Dislocations, Spinal Fusion, Cervical Vertebrae