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Klippel feil syndrome

By Dr.Pavan Kumar In MSK Posted August 26, 2018

KLIPPEL-FIEL SYNDROME

  • Mobile atlantoaxial dislocation.
  • Block vertebra at C2-C3 , segmentation anomalies in the upper thoracic spine.
  • High riding scapula
 

In 1912, Maurice Klippel and Andre Feil were independently the first to describe Klippel-Feil syndrome. They described patients who had a short neck, increased range of motion (ROM) in the cervical spine, and a low hairline. Feil subsequently classified the syndrome into 3 categories. Type I is described as a massive fusion of the cervical spine. Type II is present when the fusion of 1 or 2 vertebrae occurs. Type III occurs when thoracic and lumbar spine anomalies are associated with type I or type II Klippel-Feil syndrome. 
 

  • fused vertebrae
    • esp. cervical spine (C3-C4)
  • elevation of scapula (Sprengel deformity)
  • omocervical bones
  • GU abnormalities (66%)
    • renal agenesis (33%)
  • deafness (33%)
 

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