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Two-level cervical disc arthroplasty in patients with Klippel-Feil syndrome: A case report and review of the literature

BACKGROUND: Klippel-Feil syndrome (KFS) is defined by multiple abnormal segments of the cervical spine with congenital synostosis of two or more cervical vertebrae. KFS patients who demonstrate progressive symptomatic instability and/or neurologic sequelae are traditionally managed with operative de...

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Detalles Bibliográficos
Autores principales: Ryu, Robert C., Behrens, Phillip H., Burkert, Blake A., Johnson, J. Patrick, Kim, Terrence T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7568111/
https://www.ncbi.nlm.nih.gov/pubmed/33093999
http://dx.doi.org/10.25259/SNI_587_2020
Descripción
Sumario:BACKGROUND: Klippel-Feil syndrome (KFS) is defined by multiple abnormal segments of the cervical spine with congenital synostosis of two or more cervical vertebrae. KFS patients who demonstrate progressive symptomatic instability and/or neurologic sequelae are traditionally managed with operative decompression and arthrodesis. CASE DESCRIPTION: A 44-year-old female with chronic neck pain and radiculopathy and a C7-T1 KFS presented with adjacent segment degenerative disc disease at the C5-6 and C6-7 levels. She was successfully managed with a two-level cervical disc arthroplasty (CDA). CONCLUSION: Patients with KFS and disease at two contiguous, adjacent levels (e.g., cervical disc disease) may be safely and effectively managed with two-level CDA.