Instability of the cervical spine and neurological involvement in Klippel-Feil syndrome. A case report.

Hall, John E.; Simmons, Edward D.; Danylchuk, K; Barnes, Patrick D.

doi:10.2106/00004623-199072030-00025

Cited by 40 publications

(19 citation statements)

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“…In addition, more than one third (34%) of patients with EA had Klippel-Feil type of cervical vertebral fusions and cervical kyphosis occurred both with and without vertebral anomalies. Fused cervical vertebrae may later in life result in cervical instability and spinal stenosis, 25,26 although this was not evaluated in this study. On the other hand, the patients had no symptoms indicating cervical instability or stenosis.…”

Section: Discussionmentioning

confidence: 95%

Natural History of Spinal Anomalies and Scoliosis Associated With Esophageal Atresia

et al. 2009

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Section: Discussionmentioning

confidence: 95%

Natural History of Spinal Anomalies and Scoliosis Associated With Esophageal Atresia

et al. 2009

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“…Since the original radiographic classification of KFS by Feil in 1919 [3], a wide range of radiographic findings have been reported, such as narrowing of the spinal cord, widening of the spinal canal, osteophyte or disc protrusion, ligamentum hypertrophy, spinal stenosis, subluxation, and spondylolisthesis [13,14,26]. The most common fused cervical levels in KFS are C2-C3 (71.0 %) followed by C5-C6 (67.7 %), C6-C7 (67.6 %), and C3-C4 (29.0 %), with the mean number of total fused segments ranging from 3.5 to 3.7 [1,21].…”

Section: Discussionmentioning

confidence: 99%

“…Cervical corpectomy or laminectomy may be required for adequate decompression with extension of disease posteriorly. Discussion of specific surgical techniques for management of symptomatic KFS patients has primarily been limited to case reports [14,32,[34][35][36][37][38]. In this particular case, an anterior cervical discectomy and fusion (ACDF) was chosen for treatment of single-level disease, as imaging demonstrated anterolisthesis and narrowing of the spinal canal at the level of the C3-C4 with a bulging disc.…”

Section: Discussionmentioning

confidence: 99%

“…The abnormal fusion of cervical vertebrae predisposes those with KFS to neurologic injury due to altered spinal biomechanics, producing an increased likelihood of hypermobility, spondylolisthesis, degenerative changes, and spinal stenosis [12][13][14]. Early recognition and diagnosis of KFS is required in order to provide precautionary guidelines and proper nonsurgical or surgical management.…”

Section: Introductionmentioning

confidence: 99%

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Cervical instability in Klippel-Feil syndrome: case report and review of the literature

et al. 2015

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Background: The authors present a case of cervical myelopathy and radiculopathy in the setting of multiple Klippel-Feil syndrome abnormalities treated surgically with a single-level C3-C4 anterior cervical discectomy and fusion. We discuss the clinical presentation, radiographic findings, and various treatment options for cervical spine abnormalities in Klippel-Feil syndrome. Case Presentation: This 22-year-old female with Klippel-Feil syndrome presented with intermittent neck pain, left upper extremity weakness, and paresthesias. Preoperative MRI, CT, and X-rays of the cervical spine revealed anterolisthesis at C3/4 with unstable movement on flexion and extension imaging. In addition, there were multiple segmental fusion abnormalities including hemivertebrae and other congenital fusion abnormalities. A C3-C4 anterior cervical discectomy and fusion was performed with intervertebral disc spacer. Adequate decompression was achieved with postoperative resolution of the patient's symptoms and improvement in neurological exam. Conclusions: Single-level anterior cervical discectomy and fusion can be utilized for treatment of cervical myelopathy and radiculopathy in the setting of multiple congenital Klippel-Feil syndrome abnormalities.

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“…The number of vertebrae and the type of fusion vary so that treatment and prognosis has to be carefully considered for each patient. It is essential to determine the significance of the deformity and its effects on other parts of the spine [4,10,11,12,15,20,32]. The fused segment adversely affects the normal movement of the cervical spine with overloading of the unfused area which leads to secondary degenerative changes.…”

Section: Introductionmentioning

confidence: 99%

The cervical spine in the Klippel-Feil syndrome

Baba

Maezawa

Furusawa

et al. 1995

International Orthopaedics

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We report 57 cases of the Klippel-Feil syndrome. Five had type I congenital cervical fusion, 48 type II and 4 type III. The symptoms and signs varied considerably. Patients with C2-C3 fusion often had symptoms associated with odontoid dysplasia and occipito-cervical instability. Twenty-one had progressive neurological symptoms and 19 were operated on: 3 had occiput-C3 posterior arthrodeses, 2 a single level fusion, 1 a laminectomy and anterior arthrodesis, and 13 had laminoplasties. Degenerative changes at the unfused segment and a narrow bony canal are high risk factors in the development of neurological compromise.

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Instability of the cervical spine and neurological involvement in Klippel-Feil syndrome. A case report.

Cited by 40 publications

References 0 publications

Natural History of Spinal Anomalies and Scoliosis Associated With Esophageal Atresia

Natural History of Spinal Anomalies and Scoliosis Associated With Esophageal Atresia

Cervical instability in Klippel-Feil syndrome: case report and review of the literature

The cervical spine in the Klippel-Feil syndrome

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