{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T01:01:22Z","timestamp":1775696482510,"version":"3.50.1"},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Dropped head syndrome (DHS) is uncommon and involves severe weakness of neck-extensor muscles resulting in a progressive reducible cervical kyphosis. The first-line management consists of medical treatment targeted at diagnosing underlying pathologies. However, the surgical management of DHS has not been well studied.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>Here, we systematically reviewed the PubMed and Cochrane databases for DHS using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. All relevant articles up to March 31, 2022, were analyzed. The patient had to be \u226518 years with DHS and had to have undergone surgery with outcomes data available. Outcomes measurements included neurological status, rate of failure (RF), horizontal gaze, and complications.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>A total of 22 articles selected for this study identified 54 patients who averaged 68.9 years of age. Cervical arthrodesis without thoracic extension was performed in seven patients with a RF of 71%. Cervicothoracic arthrodesis was performed in 46 patients with an RF of 13%. The most chosen upper level of fusion was C2 in 63% of cases, and the occiput was included only in 13% of patients. All patients neurologically stabilized or improved, while 75% of undergoing anterior procedures exhibited postoperative dysphagia and\/or airway-related complications.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>The early surgery for patients with DHS who demonstrate neurological compromise or progressive deformity is safe and effective and leads to excellent outcomes.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_456_2022","type":"journal-article","created":{"date-parts":[[2022,6,17]],"date-time":"2022-06-17T09:06:05Z","timestamp":1655456765000},"page":"255","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Surgical management of dropped head syndrome: A systematic review"],"prefix":"10.25259","volume":"13","author":[{"given":"Mar\u00eda Jos\u00e9","family":"Cavagnaro","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Arizona, Phoenix, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Manuel","family":"Orenday-Barraza","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Arizona College of Medicine, Phoenix, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amna","family":"Hussein","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Arizona, Phoenix, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauricio J.","family":"Avila","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Arizona, Tucson, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dara","family":"Farhadi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Arizona, Phoenix, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelica","family":"Alvarez Reyes","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Arizona, Tucson, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel L.","family":"Bauer","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Arizona, Phoenix, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naushaba","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Arizona, Phoenix, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali A.","family":"Baaj","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Arizona, Phoenix, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2022,6,17]]},"reference":[{"key":"10.25259\/SNI_456_2022\/ref-1","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1080\/02688690410001732779","article-title":"Is there a role for surgery in the management of dropped head syndrome?","volume":"18","author":"Amin","year":"2004","journal-title":"Br J Neurosurg"},{"key":"10.25259\/SNI_456_2022\/ref-2","doi-asserted-by":"crossref","first-page":"e0068","DOI":"10.2106\/JBJS.RVW.19.00068","article-title":"Dropped head syndrome: An update on etiology and surgical management","volume":"8","author":"Brodell","year":"2020","journal-title":"JBJS Rev"},{"key":"10.25259\/SNI_456_2022\/ref-3","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1097\/BSD.0000000000000811","article-title":"Dropped head syndrome: A systematic review","volume":"32","author":"Drain","year":"2019","journal-title":"Clin Spine 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