Congenital anomalies of the Cervical Spine, although rare, are
worthy of attention because neurological compromise
from instability or stenosis may be prevented with early
recognition and careful management of those at risk.
Congenital anomalies range in severity from those that are
"benign" and asymptomatic to those with the potential
for fatal instability. Many anomalies are not discovered until a
complication occurs. Anomalies of the occipito-cervical junction
often remain undetected until late childhood or adolescence,
and some remain hidden well into adult life. Other anomalies of
the Cervical Spine, although recognized in early
ALTHOUGH CERVICAL SPINE ANOMALIES ARE RARE, THEIR RECOGNITION IS
IMPORTANT TO PREVENT CATASTROPHIC PARALYSIS DUE TO SPORT
PARTICIPATION, CHIROPRACTIC/OSTEOPATHIC MANIPULATION OR
"MANIPULATION" DURING THE INDUCTION OF ANESTHESIA.
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ALL PATIENTS WITH CONGENITAL CERVICAL FUSION SHOULD AVOID BODY
CONTACT SPORTS AS WELL AS ANY RECREATIONAL ACTIVITIES THAT MAY PUT
THEM AT RISK FOR HEAD TRAUMA.
THE POTENTIAL FOR CATASTROPHIC OUTCOMES WITH THESE STRUCTURAL
ABNORMALITIES IS VERY REAL AND MUST BE KEPT IN MIND THROUGHOUT THE
LIFE OF THE AFFECTED INDIVIDUAL.
LONG TERM FOLLOW UP IS HIGHLY RECOMMENDED. PATIENTS AND HIS/HER
FAMILY MUST BE CAREFULLY AND FULLY COUNSELLED.
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This page last edited on 2/22
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