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Cervical arthroplasty in a patient with Klippel-Feil syndrome.
Acta Neurochir (Wien) 2007; 149(8):805-9; discussion 809AN

Abstract

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+Show Affiliations

Department of Neurosurgery, Nanoori Hospital, Seoul, Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17616843

Citation

Yi, S, et al. "Cervical Arthroplasty in a Patient With Klippel-Feil Syndrome." Acta Neurochirurgica, vol. 149, no. 8, 2007, pp. 805-9; discussion 809.
Yi S, Kim SH, Shin HC, et al. Cervical arthroplasty in a patient with Klippel-Feil syndrome. Acta Neurochir (Wien). 2007;149(8):805-9; discussion 809.
Yi, S., Kim, S. H., Shin, H. C., Kim, K. N., & Yoon, D. H. (2007). Cervical arthroplasty in a patient with Klippel-Feil syndrome. Acta Neurochirurgica, 149(8), pp. 805-9; discussion 809.
Yi S, et al. Cervical Arthroplasty in a Patient With Klippel-Feil Syndrome. Acta Neurochir (Wien). 2007;149(8):805-9; discussion 809. PubMed PMID: 17616843.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cervical arthroplasty in a patient with Klippel-Feil syndrome. AU - Yi,S, AU - Kim,S H, AU - Shin,H C, AU - Kim,K N, AU - Yoon,D H, Y1 - 2007/07/09/ PY - 2006/10/01/received PY - 2007/01/15/accepted PY - 2007/7/10/pubmed PY - 2008/1/19/medline PY - 2007/7/10/entrez SP - 805-9; discussion 809 JF - Acta neurochirurgica JO - Acta Neurochir (Wien) VL - 149 IS - 8 N2 - 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. SN - 0942-0940 UR - https://www.unboundmedicine.com/medline/citation/17616843/Cervical_arthroplasty_in_a_patient_with_Klippel_Feil_syndrome_ L2 - https://dx.doi.org/10.1007/s00701-007-1115-7 DB - PRIME DP - Unbound Medicine ER -