Cervical Spine Injury From Unrecognized Craniocervical Instability in Severe Pierre Robin Sequence Associated With Skeletal Dysplasia

The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
Xiao ZhuJesse A Goldstein

Abstract

Pierre Robin Sequence (PRS) can be associated with skeletal dysplasias, presenting with craniocervical instability and devastating spinal injury if unrecognized. The authors present the case of an infant with PRS and a type II collagenopathy who underwent multiple airway-securing procedures requiring spinal manipulation before craniocervical instability was identified. This resulted in severe cervical cord compression due to odontoid fracture and occipitoatlantoaxial instability. This case highlights the importance of early cervical spine imaging and cautious manipulation in infants with PRS and suspected skeletal dysplasia.

References

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Mar 11, 2006·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Linda P JakobsenNiels Tommerup
Mar 25, 2009·Journal of Children's Orthopaedics·Ismat GhanemGabi Kreichati
Jun 18, 2010·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Deborah Krakow, David L Rimoin
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Jul 21, 2016·The Journal of Craniofacial Surgery·Rebecca M BarrMatthew R Greives

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Citations

Jul 10, 2019·The Journal of Craniofacial Surgery·Amjed Abu-GhnameLaura A Monson
May 14, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Anudeep YekulaMichael Levy

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