Document Detail


Cervical arthroplasty in a patient with Klippel-Feil syndrome.
MedLine Citation:
PMID:  17616843     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This is the first published report of a patient with Klippel-Feil syndrome treated with cervical arthroplasty. A 36-year-old man presented with posterior neck pain and myelopathic symptoms. A radiograph demonstrated congenital fusion of the vertebral bodies at C2-3, C4-5 and C5-6. On MRI, the spinal cord was compressed by a protruding cervical disc and bony spurs at C6-7. After anterior discectomy and decompression of the spinal cord at the C6-7 level, the disc was replaced with the Bryan cervical disc system (Medtronic Sofamor Danek, Memphis, TN, USA) to restore normal motion. The absence of adjacent segment degeneration and the preservation of cervical motion were noted 2 years after surgery. Arthroplasty may be performed in selected patients with Klippel-Feil syndrome in order to restore motion and to prevent degeneration of the adjacent segment by reducing hypermobility.
Authors:
S Yi; S H Kim; H C Shin; K N Kim; D H Yoon
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-07-09
Journal Detail:
Title:  Acta neurochirurgica     Volume:  149     ISSN:  0942-0940     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-06     Completed Date:  2008-01-18     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  805-9; discussion 809     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Nanoori Hospital, Seoul, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arthroplasty, Replacement / methods*
Cervical Vertebrae / pathology,  surgery*
Decompression, Surgical / methods
Diskectomy / methods
Follow-Up Studies
Humans
Klippel-Feil Syndrome / diagnosis,  surgery*
Magnetic Resonance Imaging
Male
Neurologic Examination
Prosthesis Design
Range of Motion, Articular / physiology
Spinal Cord Compression / diagnosis,  surgery*
Spinal Osteophytosis / diagnosis,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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