| No neurological involvement for more than 40 years in Klippel-Feil syndrome with severe hypermobility of the upper cervical spine. | |
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MedLine Citation:
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PMID: 11195133 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report the case of a 42-year-old woman with Klippel-Feil syndrome, who showed severe hypermobility of the upper cervical spine without neurological involvement for more than 40 years. Radiographs revealed the presence of the odontoid bone and fusion of the atlas, odontoid bone, and occiput. Congenital fusion was present from the axis to C5 as a block vertebra. Lateral flexion-extension radiographs revealed severe hypermobility at the junction between the odontoid bone and the axis. Prophylactic surgical stabilization has been recommended in patients with severe hypermobility, but adjacent disc problems may possibly occur at the unfused levels in the future. We believe that early prophylactic stabilization should not be indicated for Klippel-Feil syndrome without neurological involvement only because of hypermobility. |
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Authors:
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H Nagashima; Y Morio; R Teshima |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Archives of orthopaedic and trauma surgery Volume: 121 ISSN: 0936-8051 ISO Abbreviation: Arch Orthop Trauma Surg Publication Date: 2001 |
Date Detail:
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Created Date: 2001-01-18 Completed Date: 2001-03-15 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9011043 Medline TA: Arch Orthop Trauma Surg Country: Germany |
Other Details:
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Languages: eng Pagination: 99-101 Citation Subset: IM |
Affiliation:
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Department of Orthopedic Surgery, Faculty of Medicine, Tottori University, Yonago, Japan. hidekin@grape.med.tottori-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Bone Transplantation Braces Cervical Vertebrae / abnormalities* Female Humans Joint Instability / complications*, physiopathology, radiography, surgery* Klippel-Feil Syndrome / complications* Nausea / etiology* Neck Pain / etiology* Paralysis / etiology* Range of Motion, Articular Spinal Fusion / methods Time Factors Tomography, X-Ray Computed Treatment Outcome Vertigo / etiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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