Document Type
Journal Article
Publication Date
2015
Journal
Chinese Neurosurgical Journal
Volume
1
Inclusive Pages
6
DOI
10.1186/s41016-015-0002-7
Abstract
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.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
APA Citation
Wessell, A., DeRosa, P., Cherrick, A., Sherman, J.H. (2015). Cervical instability in Klippel-Feil syndrome: case report and review of the literature. Chinese Neurosurgical Journal, 1:6. doi: 10.1186/s41016-015-0002-7.
Peer Reviewed
1
Open Access
1
Comments
Reproduced with permission of BioMed Central. Chinese Neurosurgical Journal.