SURGICAL CORRECTION OF SEVERE AND FIXED CHIN-ON-CHEST DEFORMITY

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMARCON, Raphael Martus
dc.contributor.authorONO, Allan Hiroshi de Araujo
dc.contributor.authorZELADA, Flavio Gerardo Benites
dc.contributor.authorCRISTANTE, Alexandre Fogaca
dc.contributor.authorBARROS FILHO, Tarcisio Eloy Pessoa
dc.date.accessioned2019-01-17T13:35:03Z
dc.date.available2019-01-17T13:35:03Z
dc.date.issued2018
dc.description.abstractObjective: 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.eng
dc.description.indexPubMedeng
dc.identifier.citationACTA ORTOPEDICA BRASILEIRA, v.26, n.6, p.415-417, 2018
dc.identifier.doi10.1590/1413-785220182606169271
dc.identifier.eissn1809-4406
dc.identifier.issn1413-7852
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/30000
dc.language.isoeng
dc.publisherATHA COMUNICACAO & EDITORAeng
dc.relation.ispartofActa Ortopedica Brasileira
dc.rightsopenAccesseng
dc.rights.holderCopyright ATHA COMUNICACAO & EDITORAeng
dc.subjectSurgical procedures operativeeng
dc.subjectSpinal diseaseseng
dc.subjectCervical vertebraeeng
dc.subjectOsteotomyeng
dc.subjectDecompression, surgicaleng
dc.subject.otherdropped-head syndromeeng
dc.subject.othermyositiseng
dc.subject.othermyopathyeng
dc.subject.wosOrthopedicseng
dc.titleSURGICAL CORRECTION OF SEVERE AND FIXED CHIN-ON-CHEST DEFORMITYeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalZELADA, Flavio Gerardo Benites:Univ Sao Paulo, Fac Med, Hosp Clin IOT HCFMUSP, Inst Ortopedia & Traumatol,Lab Med Invest,Spine S, Sao Paulo, SP, Brazil
hcfmusp.citation.scopus1
hcfmusp.contributor.author-fmusphcRAPHAEL MARTUS MARCON
hcfmusp.contributor.author-fmusphcALLAN HIROSHI DE ARAUJO ONO
hcfmusp.contributor.author-fmusphcALEXANDRE FOGACA CRISTANTE
hcfmusp.contributor.author-fmusphcTARCISIO ELOY PESSOA DE BARROS FILHO
hcfmusp.description.beginpage415
hcfmusp.description.endpage417
hcfmusp.description.issue6
hcfmusp.description.volume26
hcfmusp.origemWOS
hcfmusp.origem.pubmed30774518
hcfmusp.origem.scieloSCIELO:S1413-78522018000600415
hcfmusp.origem.scopus2-s2.0-85057742459
hcfmusp.origem.wosWOS:000451932100012
hcfmusp.publisher.citySAO PAULO SPeng
hcfmusp.publisher.countryBRAZILeng
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hcfmusp.scopus.lastupdate2024-05-10
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