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Case: A 26-year-old female with Klippel-Feil syndrome (KFS) type III underwent cervical disk arthroplasty (CDA) at C5-6 for radiculopathy unresponsive to conservative care. Initial improvement was followed by recurrence of symptoms despite no implant failure or adjacent segment disease. At 11 months, she underwent revision to anterior cervical diskectomy and fusion (ACDF), resulting in full symptom resolution.
Conclusion: This case illustrates early CDA failure in a patient with congenital cervical fusion, successfully revised to ACDF. It highlights the uncertain outcomes of motion-preserving surgery in KFS and underscores the need for caution and further research in this population.
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http://dx.doi.org/10.2106/JBJS.CC.25.00308 | DOI Listing |
Acta Otolaryngol
August 2025
Department of Audiology, Faculty of Health Sciences, Inonu University, Malatya, Turkey.
Background: The vestibular system is crucial for balance and gaze stability. Proprioceptive inputs from the musculoskeletal system significantly contribute to vestibular processing, especially under postural challenge.
Objectives: To examine how proprioceptive inputs in various body positions affect the vestibulo-ocular reflex (VOR) and otolith organ function.
JBJS Case Connect
July 2025
Tennessee Orthopaedic Alliance, Nashville, Tennessee.
Case: A 26-year-old female with Klippel-Feil syndrome (KFS) type III underwent cervical disk arthroplasty (CDA) at C5-6 for radiculopathy unresponsive to conservative care. Initial improvement was followed by recurrence of symptoms despite no implant failure or adjacent segment disease. At 11 months, she underwent revision to anterior cervical diskectomy and fusion (ACDF), resulting in full symptom resolution.
View Article and Find Full Text PDFEur Spine J
August 2025
University of Shanghai for Science and Technology, Shanghai, China.
Objective: To develop a nomogram-based predictive model for anterior longitudinal ligament (ALL) injury caused by cervical spine trauma.
Methods: A total of 256 patients with cervical hyperextension injuries were included in this study. Univariate and multivariable logistic regression analyses were used to select the predictive variables, and subsequently, a nomogram model was developed.
Neurosurgery
August 2025
Norton Neuroscience Institute, Norton Healthcare, Louisville, Kentucky, USA.
Dr Roy Glenwood Spurling (1894-1968) is a foundational figure in modern neurosurgery whose leadership and ingenuity transformed the discipline. A graduate of Harvard Medical School and deeply influenced by Harvey Cushing, Spurling pioneered the first dedicated neurosurgical service at the University of Louisville in 1926. The establishment of the university's neurosurgical residency program in 1946 became a model for training neurosurgeons and set benchmarks for surgical education.
View Article and Find Full Text PDFNeurosurgery
July 2025
Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Background And Objectives: Cervical spinal cord injury (SCI) can occur in the absence of easily identifiable osseoligamentous abnormalities, such as fractures and dislocations. The role of surgery in the management of this condition remains to be elucidated.
Methods: A comprehensive literature search was conducted to identify studies investigating outcomes after surgical management of cervical SCI without fracture and dislocation.