0
Journal Contents   |    
Swan-Neck Deformity following Extensive Cervical Laminectomy A REVIEW OF TWENTY-ONE CASES
FRANKLIN H. SIM; HENDRIK J. SVIEN; WILLIAM H. BICKEL; JOSEPH M. JANES
View Disclosures and Other Information
From the Mayo Clinic and Mayo Foundation, Rochester
1974 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1974; 56:564-580 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

Twenty-one patients, thirteen to sixty-two years old, were treated for cervical swan-neck deformity after extensive laminectomy (with or without foraminotomy), performed for cervical-disc syndrome in nine, spondylosis in six, syringomyelia in three, cord tumor in two, and old fracture-dislocation with nerveroot compression in one. Spontaneous fusion occurred in one patient after prolonged bracing. In the other twenty, the results of surgical stabilization (three posterior and seventeen anterior fusions) were excellent in nine, good in one, fair in four, and poor in six. It was concluded that bracing after extensive laminectomy is indicated, and may prevent this complication; that early recognition and anterior fusion are essential to prevent fixed severe deformity; and that fusion must extend the full length of the laminectomy.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

    Topics

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Central cord syndrome.
    The Journal of the American Academy of Orthopaedic Surgeons: Issue date- 2009 Dec
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    12/22/2011
    ME - Central Maine Medical Center
    12/22/2011
    VA - Charleston Area Medical Center
    12/22/2011
    Maine - Central Maine Medical Center