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Congenital Cervical Spondyloptosis in the Neonate: A Prenatal Diagnosis
- Source :
- Pediatric Annals. 49
- Publication Year :
- 2020
- Publisher :
- SLACK, Inc., 2020.
-
Abstract
- Congenital spine abnormalities are rare in the fetus and neonate. The illustrative case described in this article is unique as it depicts a neonate with prenatally diagnosed cervical spondyloptosis. Vertebral instability at any level of the spine, regardless of its etiology, is dangerous as it has the potential for neurologic involvement—making an early diagnosis and treatment paramount. Proper stabilization in the delivery room, transfer to the neonatal intensive care unit, and establishment of a multidisciplinary treatment plan are the mainstays of therapy. Diagnosis is usually obtained through computed tomography and magnetic resonance imaging performed during the fetal or, more commonly, neonatal period. Successful management is often accomplished in consultation with different pediatric subspecialists, particularly orthopedists and neurosurgeons. The definitive therapy is surgical intervention. Prognosis of this condition is dependent upon the severity of the malformation, time to stabilization, successful orthopedic and neurosurgical intervention, and proper adherence to follow-up. [ Pediatr Ann . 2020;49(7):e313–e318.]
- Subjects :
- Adult
medicine.medical_specialty
Pediatrics
Neonatal intensive care unit
Definitive Therapy
Prenatal diagnosis
03 medical and health sciences
0302 clinical medicine
Pregnancy
Treatment plan
Prenatal Diagnosis
030225 pediatrics
medicine
Humans
Spondylolysis
030212 general & internal medicine
Braces
medicine.diagnostic_test
business.industry
Infant, Newborn
Infant
Magnetic resonance imaging
medicine.disease
Magnetic Resonance Imaging
Spinal Fusion
Pediatrics, Perinatology and Child Health
Orthopedic surgery
Cervical Vertebrae
Etiology
Female
Tomography, X-Ray Computed
business
Subjects
Details
- ISSN :
- 19382359 and 00904481
- Volume :
- 49
- Database :
- OpenAIRE
- Journal :
- Pediatric Annals
- Accession number :
- edsair.doi.dedup.....c402a74d3a7139fdf805465b5d5edb38