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  1. Atlanto-Axial Instability (AAI): What You Need to know

    • Atlanto-axial instability (AAI) is a condition that affects the bones in the upper spine or neck under the base of the skull. The joint between the upper spine and base of the skull is called the atlanto-axial joint. I… See more

    How Many People with Down Syndrome Have AAI?

    One or 2 out of every 100 children with Down syndrome have symptoms of AAI, but … See more

    Massachusetts Gener…
    What Are The Symptoms of AAI?

    Change in the way your son/daughter walks
    Gets tired easily when walking
    Pain, numbness or tingling in the neck, shoulder, arms or legs
    Head tiltin… See more

    Massachusetts General Hospital
    How Do Doctors Test For AAI?

    If your child has symptoms of AAI, the doctor will suggest an X-ray. If the X-ray results are abnormal (different than usual), the doctor will order another imaging test, like a comp… See more

    Massachusetts General Hospital
    Is It Safer to Get Just An X-Ray?

    In previous years, doctors thought all people with Down syndrome should have regular X-rays to check for AAI. This is no longer true. An X-ray is low-cost and low-risk, but it d… See more

    Massachusetts General Hospital
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