A1 Refereed original research article in a scientific journal
High Spinal Cord Injury After a Minor Fall in a 23‐Month‐Old Girl With Atlantoaxial Instability Associated With Morquio Type A: A Case Report; 
Authors: Kryssi, Verneri; Syvänen, Johanna; Helenius, Linda; Raitio, Arimatias; Helenius, Ilkka
Editors: Rawal Neetu
Publisher: Wiley
Publication year: 2026
Journal: Case reports in surgery
Article number: 2693820
ISSN: 2090-6900
eISSN: 2090-6919
DOI: https://doi.org/10.1155/cris/2693820
Publication's open availability at the time of reporting: Open Access
Publication channel's open availability : Open Access publication channel
Web address : https://doi.org/10.1155/cris/2693820
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/527017378
Self-archived copy's licence: CC BY
Self-archived copy's version: Publisher`s PDF
Case: A 23-month-old girl with Morquio A syndrome (mucopolysaccharidosis IVA [MPS IVA]) scheduled for atlantoaxial stabilization surgery sustained a cervical spinal cord injury with tetraplegic symptoms following a low-energy fall. Computed tomography (CT) images showed forward translation of C1 over C2 and magnetic resonance imaging (MRI) revealed upper cervical spinal cord injury. An urgent decompression and spinal fusion from C0 to C2 were performed. Postoperative recovery showed significant neurological improvement and at 1-year follow-up, the patient was symptom-free.
Conclusion: This case highlights the risk of severe cervical spinal cord injury following minor trauma in patients with MPS IVA-associated cervical instability and demonstrates the potential for neurological recovery after prompt surgical decompression and stabilization.
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Funding information in the publication:
The authors declare that no funding or financial support was received for this study. Open access publishing facilitated by Turun yliopisto, as part of the Wiley - FinELib agreement.
