Department of Orthopedic Surgery, Showa University, Tokyo, Japan.
JBJS Case Connect. 2022 Oct 14;12(4). doi: e22.00280. eCollection 2022 Oct 1.
We present 3 patients with dropped head syndrome (DHS) caused by thoracolumbar kyphotic deformity who were successfully treated with thoracolumbar corrective surgery only. After the surgery, their symptoms, neck pain, and horizontal gaze difficulty disappeared, and cervical kyphotic alignment was improved indirectly. At the final follow-up, the whole spinal alignment was maintained, and there was no recurrence of symptoms.
Surgeons should consider thoracolumbar spine deformity as the possible primary cause of typical DHS symptoms and recognize that thoracolumbar corrective surgery is an effective method for treating DHS patients with thoracolumbar deformity.
我们报告了 3 例由胸腰椎后凸畸形引起的垂头综合征（DHS）患者，他们仅通过胸腰椎矫正手术成功治疗。手术后，他们的症状、颈部疼痛和水平凝视困难消失，颈椎后凸畸形得到间接改善。在最终随访时，整个脊柱排列得以维持，且症状无复发。
外科医生应考虑胸腰椎脊柱畸形为典型 DHS 症状的可能主要原因，并认识到胸腰椎矫正手术是治疗伴胸腰椎畸形 DHS 患者的有效方法。
