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Case Reports
. 2022 Feb 11:75:103372.
doi: 10.1016/j.amsu.2022.103372. eCollection 2022 Mar.

Surgical management of cervical kyphosis in larsen syndrome. Case report and review of literature (VSports手机版)

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Case Reports

V体育ios版 - Surgical management of cervical kyphosis in larsen syndrome. Case report and review of literature

Mohammed Armouti et al. Ann Med Surg (Lond). .

V体育官网入口 - Abstract

Introduction: and importance: Larsen syndrome is a rare genetic disorder that is characterized by multiple joint dislocations, flat faces that can also be referred to as "dish face", kyphoscoliosis, and anomalies of the vertebrae VSports手机版. Patients with this syndrome frequently develop various spinal deformities, one of them being kyphosis of the cervical spine. This deformity can lead to serious health manifestations if not surgically treated. .

Case presentation: We report a case of a 6-month-old female, diagnosed with Larsen syndrome. She presented with progressive upper and lower limbs spasticity, flexed neck, and bilateral resistant developmental dysplasia of the hip. A C3 corpectomy with iliac crest allograft was done and 2. 7 plates with screws in C2 and C4 were placed. An abduction brace (Pavlik harness) was used for 3 months after the surgery to prevent early collapse. V体育安卓版.

Clinical discussion: Our patient was the youngest patient reported in the literature to be operated on. Although the type of surgery for patients with Larsen who suffer from spinal deformities is dictated by the severity of the deformity; the literature agrees that surgical intervention is the most important step in its management V体育ios版. .

Conclusion: If cervical kyphosis in a patient with Larsen syndrome is left untreated; the progression of the condition can eventually lead to paralysis. Early surgical correction can spare the patient future deterioration due to chronic cord compression VSports最新版本. .

Keywords: Cervical kyphosis; Corpectomy; Kyphoscoliosis; Larsen syndrome; Spinal stabilization. V体育平台登录.

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"V体育2025版" Conflict of interest statement

None.

Figures

Fig. 1
Fig. 1
Cervical spine MRI, Sagittal T2 sequence, showing kyphotic deformity of the cervical spine causing significant cord compression and T2-hyperintense signal abnormality related to myelomalacic changes.
Fig. 2
Fig. 2
Dynamic Neck X-ray (Flexion and extension) showing cervical kyphosis, anterior wedging of C3, C4 associated with instability.
Fig. 3
Fig. 3
Intraoperative X-ray showing properly placed iliac bone graft after C3 corpectomy and fusion C2–C4 with plate and screws with correction of the kyphotic deformity.
Fig. 4
Fig. 4
A cervical spine x-ray was done 4 months after follow-up showing properly placed plate and screws over the body of C2 iliac bone graft and C4.

References

    1. Deora H., Singh S., Sardhara J., Behari S.A. 360-Degree surgical approach for correction of cervical kyphosis and atlantoaxial dislocation in the case of larsen syndrome. J. Neurosci. Rural Pract. 2020 Jan 1 pmc/articles/PMC7055606/ [cited 2021 Aug 12];11(1):196. Available from: [Internet] - PMC - PubMed
    1. Madera M., Crawford A., Mangano F.T. Management of severe cervical kyphosis in a patient with Larsen syndrome: case report. J. Neurosurg. Pediatr. 2008;1(4):320–324. - PubMed
    1. Ah M. 2008. Craniovertebral Junction Database Analysis: Incidence, Classification, Presentation, and Treatment Algorithms.https://pubmed.ncbi.nlm.nih.gov/18392838/ (VSports注册入口) [cited 2021 Sep 25];24(10):1101–8. Available from: Childs Nerv Syst [Internet] - PubMed
    1. Sakaura H, Matsuoka T, Iwasaki M, Yonenobu K, Yoshikawa H. Surgical treatment of cervical kyphosis in larsen syndrome report of 3 cases and review of the literature. Spine. 32(1):39–44. - PubMed
    1. Sakaura H., Matsuoka T., Iwasaki M., Yonenobu K., Yoshikawa H. Surgical treatment of cervical kyphosis in Larsen syndrome: report of 3 cases and review of the literature. Spine. 2007;32(1):39–44. - PubMed

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