CC BY-NC-ND 4.0 · Indian Journal of Neurotrauma 2021; 18(01): 69-71
DOI: 10.1055/s-0040-1718245
Case Report

Klippel–Feil Syndrome with Multiple Cervical Anomalies Discovered Following Trauma

Fernando Celi
1   Department of Neurosurgery, Hospital de Emergencias José Casimiro Ulloa, Miraflores, Lima, Perú
,
Giancarlo Saal-Zapata
2   Department of Neurosurgery, Hospital Nacional Guillermo Almenara Irigoyen, La Victoria, Lima, Perú
3   Clínica Angloamericana, San Isidro, Lima, Perú
› Author Affiliations

Abstract

The approach to the upper cervical spine is a challenge for surgeons, not only for its complex anatomy but also for the great variety of pathologies. Klippel–Feil syndrome (KFS) is a congenital disease characterized by the fusion of two or more cervical segments and is associated with various musculoskeletal and vascular malformations. However, there is no consensus on the type of surgery, approach, level of fixation or fusion. We report the case of a KFS, associated with multiple anatomical variants, who suffered a traumatic cervical injury and underwent surgical treatment.



Publication History

Article published online:
09 October 2020

© 2020. Neurotrauma Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Bransford RJ, Alton TB, Patel AR, Bellabarba C. Upper cervical spine trauma. J Am Acad Orthop Surg 2014; 22 (11) 718-729
  • 2 Frikha R. Klippel-Feil syndrome: a review of the literature. Clin Dysmorphol 2020; 29 (01) 35-37
  • 3 Zhou PL, Poorman GW, Wang C. et al. Klippel-Feil: a constellation of diagnoses, a contemporary presentation, and recent national trends. J Craniovertebr Junction Spine 2019; 10 (03) 133-138
  • 4 Karasick D, Schweitzer ME, Vaccaro AR. The traumatized cervical spine in Klippel-Feil syndrome: imaging features. AJR Am J Roentgenol 1998; 170 (01) 85-88
  • 5 Gonschorek O, Vordemvenne T, Blattert T, Katscher S, Schnake KJ. Spine Section of the German Society for Orthopaedics and Trauma. Treatment of odontoid fractures: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU). Global Spine J 2018; 8 (Suppl. 02) 12S-17S
  • 6 Scholz M, Kandziora F, Kobbe P, Matschke S, Schleicher P, Josten C. Spine Section of the German Society for Orthopaedics and Trauma. Treatment of axis ring fractures: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU). Global Spine J 2018; 8 (Suppl. 02) 18S-24S
  • 7 Kandziora F, Scholz M, Pingel A. et al. Spine Section of the German Society for Orthopaedics and Trauma. Treatment of atlas fractures: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU). Global Spine J 2018; 8 (Suppl. 02) 5S-11S
  • 8 Nouri A, Tetreault L, Zamorano JJ, Mohanty CB, Fehlings MG. Prevalence of Klippel-Feil Syndrome in a surgical series of patients with cervical spondylotic myelopathy: analysis of the prospective, multicenter AOSpine North America Study. Global Spine J 2015; 5 (04) 294-299
  • 9 Yin Y-H, Qiao G-Y, Yu X-G. Surgical treatment of occipitocervical dislocation with atlas assimilation and Klippel-Feil syndrome using occipitalized C1 lateral mass and C2 fixation and reduction technique. World Neurosurg 2016; 95: 46-52
  • 10 Al-Tamimi YZ, Sinha P, Ivanov M, Robson C, Goomany A, Timothy J. Fracture through fused cervical segments following trauma in a patient with Klippel-Feil syndrome. Br J Neurosurg 2014; 28 (03) 408-410
  • 11 Dodo Y, Kudo Y, Ishikawa K. et al. Fracture-dislocation of the cervical spine secondary to low-impact trauma in a patient with Klippel-Feil syndrome: a case report. Spine Surg Relat Res 2019; 4 (01) 84-86
  • 12 Mishima K, Itoi A, Sugita M, Yanagawa Y. A case of fracture through fused cervical segments following trauma in a patient with Klippel-Feil syndrome. J Emerg Trauma Shock 2016; 9 (02) 85-86
  • 13 Gruber J, Saleh A, Bakhsh W, Rubery PT, Mesfin A. The prevalence of Klippel-Feil Syndrome: a computed tomography-based analysis of 2,917 Patients. Spine Deform 2018; 6 (04) 448-453
  • 14 Samartzis D, Kalluri P, Herman J, Lubicky JP, Shen FH. “Clinical triad” findings in pediatric Klippel-Feil patients. Scoliosis Spinal Disord 2016; 11: 15
  • 15 Patil PV, Patil AM, Apte AV, Attarde VY. Anomalous origin of left vertebral artery from carotid bulb seen as “trifurcation” of left common carotid artery with acute infarct in ipsilateral thalamus: a case report. J Neuroimaging 2015; 25 (04) 662-664
  • 16 Mubarak AI, Morani AC. Anomalous vertebral arteries in Klippel-Feil syndrome with occipitalized atlas: CT angiography. Radiol Case Rep 2018; 13 (02) 434-436
  • 17 Ghogawala Z. Anterior cervical option to manage degenerative cervical myelopathy. Neurosurg Clin N Am 2018; 29 (01) 83-89
  • 18 Liu X, Min S, Zhang H, Zhou Z, Wang H, Jin A. Anterior corpectomy versus posterior laminoplasty for multilevel cervical myelopathy: a systematic review and meta-analysis. Eur Spine J 2014; 23 (02) 362-372
  • 19 Cheung KMC, Mak KC, Luk KD. Anterior approach to cervical spine. Spine 2012; 37 (05) E297-E302
  • 20 Luo J, Cao K, Huang S. et al. Comparison of anterior approach versus posterior approach for the treatment of multilevel cervical spondylotic myelopathy. Eur Spine J 2015; 24 (08) 1621-1630