Nuchal Ligament Reconstruction Surgery for Dropped Head Syndrome: A Case Report.

Q4 Medicine

JBJS case connector Pub Date : 2024-10-18 eCollection Date: 2024-10-01 DOI:10.2106/JBJS.CC.23.00611

Kenji Endo, Hiroshi Kanai, Yasunobu Sawaji, Takato Aihara, Hidekazu Suzuki, Takamitsu Konishi, Hirosuke Nishimura, Kengo Yamamoto

引用次数: 0

Abstract

Case: An 86-year-old woman suffered from dropped head syndrome (DHS). As she was not willing to undergo fusion surgery, we proposed a novel nuchal ligament reconstruction surgery, which is not a direct correction of the malalignment but rather a recovery of the function of extensor muscles under local anesthesia. Twelve months after surgery, the patient remains satisfied and is able to maintain a horizontal gaze.

Conclusion: This is the first report regarding a less invasive nuchal ligament reconstruction surgery successfully performed for DHS.

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治疗垂头综合征的颈韧带重建手术：病例报告

病例一位 86 岁的妇女患有垂头综合征（DHS）。由于她不愿意接受融合手术，我们提出了一种新颖的颈韧带重建手术，这种手术不是直接矫正错位，而是在局部麻醉下恢复伸肌的功能。术后 12 个月，患者仍感到满意，并能保持平视：这是首例成功为 DHS 实施微创颈韧带重建手术的报告。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.