Matheus Felipe Henriques Brandão, Ocílio Ribeiro Gonçalves, Gabriel de Almeida Monteiro, Vitor Ribeiro Gonçalves, João Vitor Andrade Fernandes, Thiago Gomes Martins
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引用次数: 0
Abstract
Dropped Head Syndrome (DHS) is a rare condition marked by severe neck extensor muscle weakness, leading to a chin-on-chest deformity caused by pathological kyphosis. This study aims to evaluate the efficacy of conservative versus surgical treatments for DHS. A systematic search of PubMed, Embase, and ScienceDirect was conducted for studies on DHS treatments. Outcomes included total/partial improvement, success, and failure rates. Statistical analyses were performed using R software and the "meta" package. We identified 1,252 articles, with 19 studies and 472 patients included. Of these, 134 (28.4%) underwent surgery and 338 (71.6%) received conservative treatment. Partial improvement after conservative treatment was 59% (95% CI 32.76-83.03%; I² = 78%), with total improvement at 4.45% (95% CI 0.01-13.21%; I² = 84%). Success rates were 6.73% (95% CI 0.74-16.16%; I² = 82%), and failure was 100% (95% CI 99.28-100%; I² = 78%). For surgical treatment, total improvement was 100% (95% CI 99.57-100%; I² = 18%), and success was also 100% (95% CI 98.37-100%; I² = 0%), with low heterogeneity. Only two surgical patients failed (95% CI 0.00-1.63%; I² = 0%). Conservative treatment was ineffective in achieving functional recovery and horizontal gaze. Surgical treatment is the preferred option for treating DHS and should be considered a disease-modifying therapy.
期刊介绍:
The goal of Neurosurgical Review is to provide a forum for comprehensive reviews on current issues in neurosurgery. Each issue contains up to three reviews, reflecting all important aspects of one topic (a disease or a surgical approach). Comments by a panel of experts within the same issue complete the topic. By providing comprehensive coverage of one topic per issue, Neurosurgical Review combines the topicality of professional journals with the indepth treatment of a monograph. Original papers of high quality are also welcome.