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Treatment of Klippel-Feil syndrome with symptomatic atlantoaxial instability in a 7-year-old boy: a case report

Klippel-Feil syndrome (KFS) is a congenital deformity of the cervical spine. Clinical symptoms of KFS are reduced range of motion, short neck and low hairline. In adult KFS patients the deformity can lead to adjacent segmental instability with spinal canal stenosis, radiculopathy and myelopathy. Thi...

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Bibliographic Details
Main Authors: Pepke, Wojciech (Author) , Renkawitz, Tobias (Author) , Hemmer, Stefan (Author)
Format: Article (Journal)
Language:English
Published: October 2024
In: Die Orthopädie
Year: 2024, Volume: 53, Issue: 10, Pages: 799-804
ISSN:2731-7153
DOI:10.1007/s00132-024-04537-z
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1007/s00132-024-04537-z
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Author Notes:W. Pepke, T. Renkawitz, S. Hemmer
Description
Summary:Klippel-Feil syndrome (KFS) is a congenital deformity of the cervical spine. Clinical symptoms of KFS are reduced range of motion, short neck and low hairline. In adult KFS patients the deformity can lead to adjacent segmental instability with spinal canal stenosis, radiculopathy and myelopathy. This article reports about the diagnostics and treatment management of juvenile KFS patient with myelopathy due to instability of the C1/C2 segment, subsequent stenosis through the posterior arch of C1 and symptomatic myelopathy. This 7‑year-old boy could be successfully treated with C1 decompression and computer tomography (CT) guided C1/C2 stabilization with pedicle screws under intraoperative neuromonitoring.
Item Description:Online veröffentlicht: 8. August 2024
Gesehen am 17.03.2025
Physical Description:Online Resource
ISSN:2731-7153
DOI:10.1007/s00132-024-04537-z

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