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Transdiscal Fixation for Dropped Head Syndrome: A Case Report
Masato Tanaka1,2, Ahmed Heydar3, Muhamd A Rahmen1
1Orthopedic Surgery, Okayama Rosai Hospital, Okayama, JPN.
Cureus
|March 17, 2025
Summary
Dropped head syndrome (DHS) involves neck extensor weakness, causing chin-on-chest deformity. A novel C-arm-free technique for transdiscal fixation offers a potential solution for surgical intervention in these patients.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Spinal Surgery
Background:
- Dropped head syndrome (DHS) is a rare neuromuscular disorder characterized by severe neck extensor muscle weakness.
- Key symptoms include chin-on-chest deformity, neck pain, and difficulties with eating and maintaining horizontal gaze, significantly impacting daily life.
- Surgical spinal fusion is often required for severe cases, but complications like distal junctional failure are common in elderly patients with osteoporosis.
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