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lüll Cervical spine instability in children with Goldenhar s syndrome Healey D; Letts M; Jarvis JGCan J Surg 2002[Oct]; 45 (5): 341-4OBJECTIVE: To study the vertebral involvement of the cervical spine, in particular the stability of C1-C2, in children with proven Goldenhar's syndrome. DESIGN: A case review. SETTING: The Children's Hospital of Eastern Ontario, Ottawa. PATIENTS: Eight children who had a minimum of 2 out of 3 Goldenhar criteria plus other strong associations with the syndrome and for whom detailed radiographic spinal assessment, including flexion-extension views of the cervical spine and computed tomography of the congenital anomalies, were available. OUTCOME MEASURES: Radiographic findings. RESULTS: Seven children demonstrated cervical spine anomalies. Of particular concern was the high incidence of C1-C2 instability in 3 children, 2 of whom required occiput to C2 fusion. The presence of hemivertebrae and failures of segmentation were most common and resulted in thoracic scoliosis, leading to spinal fusion in 2 children. CONCLUSIONS: In patients with Goldenhar's syndrome the cervical spines must be monitored carefully for C1-C2 subluxation before any proposed surgery for other malformations associated with the syndrome, so that any instability can be identified to avoid cord impingement during a general anesthetic.|Adolescent[MESH]|Cervical Vertebrae/*abnormalities/diagnostic imaging/surgery[MESH]|Child[MESH]|Child, Preschool[MESH]|Female[MESH]|Goldenhar Syndrome/*complications[MESH]|Humans[MESH]|Joint Instability/complications/diagnostic imaging/surgery[MESH]|Male[MESH]|Preoperative Care[MESH]|Radiography[MESH]|Spinal Cord Compression/etiology/prevention & control[MESH]|Spinal Diseases/*complications/*diagnostic imaging/surgery[MESH]|Spine/abnormalities/diagnostic imaging[MESH]|Treatment Outcome[MESH] |