Failure of cervical arthroplasty in a patient with adjacent segment disease associated with Klippel-Feil syndrome

Ioannis D. Papanastassiou; Ali A. Baaj; Elias Dakwar; Mohammad Eleraky; Frank D. Vrionis

doi:10.4103/0019-5413.77139

Failure of cervical arthroplasty in a patient with adjacent segment disease associated with Klippel-Feil syndrome

Ioannis D. Papanastassiou, Ali A. Baaj, Elias Dakwar, Mohammad Eleraky, Frank D. Vrionis

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

Cervical arthroplasty may be justified in patients with Klippel-Feil syndrome (KFS) in order to preserve cervical motion. The aim of this paper is to report an arthroplasty failure in a patient with KFS. A 36-year-old woman with KFS underwent two-level arthroplasty for adjacent segment disc degeneration. Anterior migration of the cranial prosthesis was encountered 5 months postoperatively and was successfully revised with anterior cervical fusion. Cervical arthroplasty in an extensively stiff and fused neck is challenging and may lead to catastrophic failure. Although motion preservation is desirable in KFS, the special biomechanical features may hinder arthroplasty. Fusion or hybrid constructs may represent more reasonable options, especially when multiple fused segments are present.

Original language	English (US)
Pages (from-to)	174-177
Number of pages	4
Journal	Indian Journal of Orthopaedics
Volume	45
Issue number	2
DOIs	https://doi.org/10.4103/0019-5413.77139
State	Published - Apr 1 2011
Externally published	Yes

Keywords

Adjacent segment disease
Klippel-Feil
cervical arthroplasty

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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10.4103/0019-5413.77139

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title = "Failure of cervical arthroplasty in a patient with adjacent segment disease associated with Klippel-Feil syndrome",

abstract = "Cervical arthroplasty may be justified in patients with Klippel-Feil syndrome (KFS) in order to preserve cervical motion. The aim of this paper is to report an arthroplasty failure in a patient with KFS. A 36-year-old woman with KFS underwent two-level arthroplasty for adjacent segment disc degeneration. Anterior migration of the cranial prosthesis was encountered 5 months postoperatively and was successfully revised with anterior cervical fusion. Cervical arthroplasty in an extensively stiff and fused neck is challenging and may lead to catastrophic failure. Although motion preservation is desirable in KFS, the special biomechanical features may hinder arthroplasty. Fusion or hybrid constructs may represent more reasonable options, especially when multiple fused segments are present.",

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AU - Eleraky, Mohammad

AU - Vrionis, Frank D.

PY - 2011/4/1

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AB - Cervical arthroplasty may be justified in patients with Klippel-Feil syndrome (KFS) in order to preserve cervical motion. The aim of this paper is to report an arthroplasty failure in a patient with KFS. A 36-year-old woman with KFS underwent two-level arthroplasty for adjacent segment disc degeneration. Anterior migration of the cranial prosthesis was encountered 5 months postoperatively and was successfully revised with anterior cervical fusion. Cervical arthroplasty in an extensively stiff and fused neck is challenging and may lead to catastrophic failure. Although motion preservation is desirable in KFS, the special biomechanical features may hinder arthroplasty. Fusion or hybrid constructs may represent more reasonable options, especially when multiple fused segments are present.

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Failure of cervical arthroplasty in a patient with adjacent segment disease associated with Klippel-Feil syndrome

Abstract

Keywords

ASJC Scopus subject areas

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