Please use this identifier to cite or link to this item:
https://observatorio.fm.usp.br/handle/OPI/30000
Title: | SURGICAL CORRECTION OF SEVERE AND FIXED CHIN-ON-CHEST DEFORMITY |
Authors: | MARCON, Raphael Martus; ONO, Allan Hiroshi de Araujo; ZELADA, Flavio Gerardo Benites; CRISTANTE, Alexandre Fogaca; BARROS FILHO, Tarcisio Eloy Pessoa |
Citation: | ACTA ORTOPEDICA BRASILEIRA, v.26, n.6, p.415-417, 2018 |
Abstract: | Objective: To describe a successful surgical treatment for the challenging severe and fixed chin-on-chest deformity due to isolated neck extensor myopathy (INEM). Background data: INEM is an idiopathic cause of dropped head syndrome (DHS) that results in severe cervicothoracic kyphosis, defined as chin-on-chest deformity. The existing literature on surgical management is limited, with outcomes ranging from poor to excellent. INEM may present to the spinal surgeon for consideration of surgical management. Methods: The authors present a technique that uses a staged posterior and anterior approach combined with osteotomies and corpectomy to correct the severe and fixed deformity. A state of the art anterior and posterior instrumentation system was used. Results: At the three-months follow-up, there was good deformity correction and the patient's satisfaction was high, with no neurological deterioration occurring. Conclusions: The technique illustrated in this study represents a successful option to treat this debilitating deformity. More evidence is needed to set up a definitive algorithm for the management of this condition. |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MOT Artigos e Materiais de Revistas Científicas - HC/IOT Artigos e Materiais de Revistas Científicas - LIM/41 |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
art_MARCON_SURGICAL_CORRECTION_OF_SEVERE_AND_FIXED_CHINONCHEST_DEFORMITY_2018.PDF | publishedVersion (English) | 342.06 kB | Adobe PDF | View/Open |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.