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Updated: Jun 10, 2025
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Published on: September 13, 2024
Nuchal Ligament Reconstruction Surgery for Dropped Head Syndrome: A Case Report
Kenji Endo1, Hiroshi Kanai, Yasunobu Sawaji
1Department of Orthopedic Surgery, Tokyo Medical University, Tokyo, Japan.
Case:
An 86-year-old woman suffered from dropped head syndrome (DHS). As she was not willing to undergo fusion surgery, we proposed a novel nuchal ligament reconstruction surgery, which is not a direct correction of the malalignment but rather a recovery of the function of extensor muscles under local anesthesia. Twelve months after surgery, the patient remains satisfied and is able to maintain a horizontal gaze.
Conclusion:
This is the first report regarding a less invasive nuchal ligament reconstruction surgery successfully performed for DHS.
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