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Surgical Treatment of Klippel-Feil Syndrome with Cervical Spondylosis

Authors
 박기석  ;  이규성  ;  구성욱  ;  김영수 
Citation
 Journal of Korean Neurosurgical Society (대한신경외과학회지), Vol.35(1) : 116-118, 2004 
Journal Title
 Journal of Korean Neurosurgical Society  (대한신경외과학회지) 
ISSN
 2005-3711 
Issue Date
2004
Abstract
We report a case of Klippel-Feil syndrome. The patient was a 37-year-old man who developed progressive motor weakness and on C4-5 and C6-7 segments combined with severe cervical stenosis, basilar impression and C1 assimilation. He showed progressive quadriparesis and respiratory difficulty. He had combined congenital anomaly of right side facial palsy of peripheral type and right side sensorineural hearing loss. In May 2002, we performed, via transoral approach, anterior fusion with Harm's mesh and hydroxyapatite from the clivus to the C3. But, one month after the operation, Harm's mesh with hydroxyapatite slipped anteriorly due to non-union. So, we removed the mesh and reoperated with fibular bone graft from the clivus to the C3. Simultaneously, posterior approach was performed with on-lay autologous rib bone graft and wiring from the occiput to the C2,3,4. One year after the operation, his motor weakness has been gradually improved and there is minimal difficulty in self-respiration.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kuh, Sung Uk(구성욱) ORCID logo https://orcid.org/0000-0003-2566-3209
Park, Ki Seok(박기석)
Lee, Kyu Sung(이규성)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/112754
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