Martin Allan R, Reddy Rajesh, Fehlings Michael G
Division of Neurosurgery and Krembil Neuroscience-Spinal Program, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada.
Evid Based Spine Care J. 2011 May;2(2):41-7. doi: 10.1055/s-0030-1267104.
Dropped head syndrome (DHS) is a relatively rare condition, with a broad differential diagnosis. This deformity has significant implications on the health and quality of life of affected individuals. While surgery seems to be an obvious therapeutic option, there is a paucity of information on surgical intervention with no clear consensus on an optimal approach or timing. We present a case of DHS in a young woman to illustrate this condition, and review the current literature. Although at present the only definitive solution for correction and stabilization of DHS is surgical intervention involving multilevel instrumented fixation and fusion, this condition requires a persistent medical workup and treatment of reversible causes before surgical intervention is contemplated.
低头综合征（DHS）是一种相对罕见的病症，鉴别诊断范围广泛。这种畸形对受影响个体的健康和生活质量有重大影响。虽然手术似乎是一种显而易见的治疗选择，但关于手术干预的信息匮乏，对于最佳方法或时机也没有明确的共识。我们报告一例年轻女性的DHS病例以说明这种病症，并回顾当前的文献。尽管目前矫正和稳定DHS的唯一确定性解决方案是涉及多级器械固定和融合的手术干预，但在考虑手术干预之前，这种病症需要持续的医学检查和对可逆病因的治疗。
