2011 Jul. 1964 Mar. No fusion pattern was identified that placed the patients at greater risk for developing symptoms. The disorder is often associated with other abnormalities … [Medline]. [Medline]. [Full Text]. For example, a plastic surgeon may perform surgery for cleft palate (closing a split in the roof of the mouth), or a cardiovascular surgeon may perform heart surgery. [1]  The patient had occipitalization of C1 and fusion of C2-3 and C4-T1. J Neurosurg Spine. Otolaryngologic Manifestations of Klippel-Feil Syndrome in Children. 1264848-overview Deerfield, [Medline]. [Medline]. This may improve and maintain range of motion and reduce further spine degeneration without requiring spinal fusion. The Klippel-Feil syndrome: genetic and clinical reevaluation of cervical fusion. Klippel-Feil syndrome is a rare disorder that affects the skeletal system. If surgery is performed for KFS, it is typically to stabilize the cervical spine, to correct a spinal deformity, or to take pressure off of nerves or the spinal cord. 2002 1980 Jan. 17(1):65-88. Klippel-Feil Syndrome: Clinical Features and Current Understanding of Etiology. Spine (Phila Pa 1976). [Medline]. [47]. 1996 Nov-Dec. 63 (6):819-22. Klippel Feil Syndrome: Klippel-Feil syndrome is a rare disorder defined as the congenital fusion of any 2 of the 7 cervical (neck) vertebrae. Classification of congenitally fused cervical patterns in Klippel-Feil patients: epidemiology and role in the development of cervical spine-related symptoms. Klippel Feil Syndrome: Introduction. Klippel-Feil Syndrome. Erol FS, Ucler N, Yakar H. The association of Chiari type III malformation and Klippel-Feil syndrome with mirror movement: a case report. This radiograph demonstrates an omovertebral bone (marked with 2 arrows). Auerbach JD, Hosalkar HS, Kusuma SK, Wills BP, Dormans JP, Drummond DS. Treatment for Klippel-Feil Syndrome. [Medline]. This anomaly limits cervical spine motion. Am J Dis Child. [Medline]. Subclavian artery supply disruption sequence: hypothesis of a vascular etiology for Poland, Klippel-Feil, and Möbius anomalies. This rare disorder was first accounted by Maurice Klippel and Andre Feil from France in the year 1912. Jeffrey A Goldstein, MD Clinical Professor of Orthopedic Surgery, New York University School of Medicine; Director of Spine Service, Director of Spine Fellowship, Department of Orthopedic Surgery, NYU Hospital for Joint Diseases, NYU Langone Medical Center 1983 Oct. 5(2):113-9. 1987 Dec 19. Symptomatic cervical disc herniation in a pediatric Klippel-Feil patient: the risk of neural injury associated with extensive congenitally fused vertebrae and a hypermobile segment. (5, 6) Bavinck JN, Weaver DD. 31 (11):E335-8. Although many of the study's patients did not have Klippel-Feil syndrome, the surgical indication was instability. Klippel-Feil syndrome. S Afr Med J. Assessment and neurologic involvement of patients with cervical spine congenital synostosis as in Klippel-Feil syndrome: study of 19 cases. This website also contains material copyrighted by 3rd parties. Samartzis DD, Herman J, Lubicky JP, Shen FH. Self-Care for KFS. The three cat­e­gories treated for types of spinal cord de­fi­cien­cies are mas­sive fu­sion of the c… Congenital anomaly of the forearm in a patient with Klippel-Feil syndrome. [Full Text]. Radiofrequency Ablation (RFA): Procedure and Recovery. Activities that can injure the neck should be … Thomas R Lewis, MD Assistant Professor, Department of Orthopedic Surgery and Rehabilitation, University of Oklahoma College of MedicineDisclosure: Nothing to disclose. This patient has Klippel-Feil syndrome and an anomaly of the occipitocervical junction. [citation needed] Fail­ing non-sur­gi­cal ther­a­pies, spinal surgery may pro­vide re­lief. Oral Surg Oral Med Oral Pathol. For neck pain and/or headaches that might be associated with KFS, some potential self-care measures include: Read more about Heat Therapy Cold Therapy, See Medications for Back Pain and Neck Pain. 71 (3):404-7. There is no cure for Klippel-Feil syndrome (KFS), so treatments focus on managing the symptoms. The same authors reported on a patient who developed a symptomatic cervical disc herniation. [Medline]. Case Presentation: This 22-year-old female with Klippel-Feil syndrome presented with intermittent neck pain, left upper extremity … [Medline]. Miyamoto RT, Yune HY, Rosevear WH. Cervical spine anomalies in fetal alcohol syndrome. for: Medscape. Hensinger RN, Lang JE, MacEwen GD. Activities that can injure the neck should be … Sekhon LH, Sears W, Duggal N. Cervical arthroplasty after previous surgery: results of treating 24 discs in 15 patients. Some treatments for KFS may not be an option if other serious conditions are present. Physical therapy may also be useful. All material on this website is protected by copyright, Copyright © 1994-2020 by WebMD LLC. 3(5):289-90. This intravenous pyelogram was performed before ultrasound was available to image the kidneys. Klippel-Feil syndrome and associated ear deformities. Congenital scoliosis and urinary tract abnormalities: are intravenous pyelograms necessary?. Patients with cardiovascular abnormalities are cared for by a cardiologist or primary care physician. Kenna MA, Irace AL, Strychowsky JE, Kawai K, Barrett D, Manganella J, et al. 33 (12):1366-71. Spine (Phila Pa 1976). As the patient attempts to oppose the thumb and finger of the right hand, the same movement occurs involuntarily in the left. 2017 Jul 15. Spine (Phila Pa 1976). 2008 Young Investigator Award: The role of congenitally fused cervical segments upon the space available for the cord and associated symptoms in Klippel-Feil patients. Spine (Phila Pa 1976). [Medline]. Rouvreau P, Glorion C, Langlais J, Noury H, Pouliquen JC. 2006 May 15. 2006 Oct 1. Mohamed JY, Faqeih E, Alsiddiky A, Alshammari MJ, Ibrahim NA, Alkuraya FS. Abnormal Bone Fusion-Klippel-Feil Syndrome is a form of a disorder of the bones in which there is abnormal fusion of two or vertebrae of the cervical spine, which is present since birth.Characteristic Features-There are three characteristic features of Klippel-Feil Syndrome.Majority of the affected individuals have at least two of the three features mentioned below. Surgical and nonsurgical orthopedic treatments for Klippel-Feil syndrome … [Medline]. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI2NDg0OC10cmVhdG1lbnQ=. 1989 May. [Medline]. Please confirm that you would like to log out of Medscape. Klippel-Feil syndrome abnormalities treated surgically with a single-level C3–C4 anterior cervical discectomy and fusion. Surgical intervention for patients with KFS can include cervical disc arthroplasty to address adjacent segment disease. Failure of cervical arthroplasty in a patient with adjacent segment disease associated with Klippel-Feil syndrome. Adequate imaging studies must be obtained. [43] Autogenous bone grafts provided solid arthrodesis in 12 patients. "Clinical triad" findings in pediatric Klippel-Feil patients. Tredwell SJ, Smith DF, Macleod PJ, Wood BJ. Samartzis DD, Herman J, Lubicky JP, et al. There is no cure for Klippel Feil syndrome. 11:15. ... SUMMARY OF BACKGROUND DATA: Klippel-Feil Syndrome (KFS) is characterized by the congenital fusion of cervical vertebrae, however, patients often present with a variety of other spinal and extra-spinal anomalies suggesting this syndrome encompasses a heterogeneous patient population. Am J Roentgenol Radium Ther Nucl Med. [Medline]. 42 (14):1058-1067. CONGENITAL FUSION OF THE CERVICAL VERTEBRAE. Mutations in MEOX1, encoding mesenchyme homeobox 1, cause Klippel-Feil anomaly. One patient treated with a rib allograft developed a pseudoarthrosis. Symptomatic spinal stenosis may require decompression and fusion. Treatment programs can vary widely, depending on the severity of KFS, as well as any other conditions that might be present. [42]  Only seven (22%) developed cervical or cervical-related symptoms, and only two required surgery for their cervical-related symptoms. [Medline]. Spine (Phila Pa 1976). Treatment for Klippel-Feil Syndrome is symptomatic and may include surgery to relieve cervical or craniocervical instability and constriction of the spinal cord, and to correct scoliosis. Mild cases of KFS do not require any treatment and the patient could live a completely normal life and engage in any activities. The investigators recommended activity modification in high-risk patients. [Medline]. Nagib et al [] reviewed 21 cases of Klippel-Feil syndrome (10 male, 11 female) over a 25-year period to identify high-risk patients and described the treatments required. William O Shaffer, MD Orthopedic Spine Surgeon, Northwest Iowa Bone, Joint, and Sports Surgeons Failure of segmentation fusion anomaly in a patient with Klippel-Feil syndrome. 1987 Apr. The three … 92(1):157-61. Most affected people have one or two of these … Cervical arthroplasty in a patient with Klippel-Feil syndrome. Craniosynostosis and Klippel-Feil syndrome: a rare association. 2018 Jul - Aug. 6 (4):448-453. [Full Text]. 66(3):403-11. 33 (3):335-40. 1964 Feb. 118:373-85. The vertebral fusion is present from birth. Unfortunately, there is no treatment yet for Klippel-Feil syndrome. Omovertebral bone excision in a patient with Klippel-Feil syndrome. Of the 21, 12 had no neurologic deficit, and 11 of these 12 had a single block vertebra with no other cervical or … Treating for Klippel-Feil syndrome. [Medline]. [Medline]. Eight patients had been admitted for genitourinary complications or cardiovascular or otologic anomalies. Patients with genitourinary abnormalities are referred to a nephrologist or urologist. 22 (11):1219-22. 2016 Jun 27. McGaughran JM, Kuna P, Das V. Audiological abnormalities in the Klippel-Feil syndrome. Physical therapy may also be useful. Activities that can injure the neck should be … © MRI Analysis of the Combined Prospectively Collected AOSpine North America and International Data: The Prevalence and Spectrum of Pathologies in a Global Cohort of Patients With Degenerative Cervical Myelopathy. This anteroposterior radiograph of the spine in a patient with Klippel-Feil syndrome demonstrates congenital scoliosis and a Sprengel deformity. There is no known cure for the disorder Surgery may be necessary for correcting abnormalities like cleft palate, cardiac or renal anomalies If you log out, you will be required to enter your username and password the next time you visit. Am J Med Genet A. Treatment for Klippel-Feil syndrome will be unique based on a child’s diagnosis and current condition. There are various treatments and therapies that can be used to … When treating KFS, a thorough medical evaluation must be performed to check for other conditions and abnormalities. Spine (Phila Pa 1976). 2013 Jan 10. Treatment. Samartzis D, Kalluri P, Herman J, Lubicky JP, Shen FH. [43] They stressed the need for delicate exposure, decortication using an air drill, and placement of an autologous iliac graft. 2000 Oct. 71(5):461-4. J Bone Joint Surg Am. Yi S, Kim SH, Shin HC, Kim KN, Yoon DH. The Prevalence of Klippel-Feil Syndrome: A Computed Tomography-Based Analysis of 2,917 Patients. Identification and management of high-risk patients with Klippel-Feil syndrome. 33 (15):1637-42. All rights reserved. 1994. Stadnicki G, Rassumowski D. The association of cleft palate with the Klippel-Feil syndrome. 520 Lake Cook Road, Suite 350, The information is produced and reviewed by over 200 medical professionals with the goal of providing trusted, uniquely informative information for people with painful health conditions. The disorder may be isolated but it can also present in association with numerous other syndromes.… Klippel-Feil Syndrome (KFS): Read more about Symptoms, Diagnosis, Treatment, Complications, Causes and Prognosis. Klippel-Feil syndrome with neck pain. Instability of the cervical spine can develop because of craniocervical abnormalities. Share cases and questions with Physicians on Medscape consult. [Medline]. More than 50% of the patients in Hensinger's study had scoliosis. 60015. prime For patients with KFS, it is common for the health care team to include specialists from multiple fields, depending on the signs and symptoms present, such as: If multiple issues must be treated simultaneously, the various specialists may need to coordinate the care plan with each other. Get Our Book on Finding Chronic Neck Pain Relief, Spinal deformity (such as shortened neck or scoliosis), Craniofacial anomalies (such as cleft palate), Heart, lung, kidney, and/or bladder problems. Jeffrey A Goldstein, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American College of Surgeons, American Orthopaedic Association, AOSpine, Cervical Spine Research Society, International Society for the Advancement of Spine Surgery, International Society for the Study of the Lumbar Spine, Lumbar Spine Research Society, North American Spine Society, Scoliosis Research Society, Society of Lateral Access SurgeryDisclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: Medtronic, Nuvasive, NLT Spine, RTI, Magellan Health
Received consulting fee from Medtronic for consulting; Received consulting fee from NuVasive for consulting; Received royalty from Nuvasive for consulting; Received consulting fee from K2M for consulting; Received ownership interest from NuVasive for none. 11:50-3. 1280034-overview Treatment for KFS is usually based on the type and extent of deformity or abnormality. Get Veritas Health eNewsletters delivered to your inbox. The patient's flexion and extension after the occipitocervical fusion is demonstrated. Lateral radiograph of a patient with Klippel-Feil syndrome showing 2 fused segments separated by an open segment. /viewarticle/930558 Klippel-Feil syndrome treatment. [Medline]. Dan Med Bull. For example, if heart and lung abnormalities are present and make general anesthesia a much higher risk, treatments that involve general anesthesia may need to be avoided or only performed as a last resort. Medical therapy for Klippel-Feil syndrome depends on the congenital anomalies present in the syndrome. 7 (3):179-85. Patients with cardiovascular abnormalities are cared for by a cardiologist or primary care physician. A thorough workup of the patient is imperative prior to surgical intervention. Klippel Feil Syndrome: Clinical Phenotypes Associated With Surgical Treatment. Arch Dis Child 79 (1998): 352-355. [Medline]. The treatment of Klippel-Feil syndrome is aimed at alleviating and correcting the symptoms. [Medline]. The most distinguished characteristics are bones in the vertebrae (the spinal column), which are fused together abnormally. Some of these patients require cervical spine fusions to prevent progression. [Medline].  |  [Medline]. 3.1 Treatment 3.1.1 Non-Operative management: Non-Operative management, which is conservative and symptom driven. Cleft Palate J. [Medline]. 1989 May-Jun. Hong Kong Med J. However, when degeneration is noted between two congenitally fused segments, the increased stress imposed at this level may be too much for an arthroplasty implant to tolerate in the long term. Occupational treatment is... Surgical Treatment. The surgical treatment of instability of the upper part of the cervical spine in children and adolescents. Klippel-Feil malformation complex in fetal alcohol syndrome. 31 (21):E798-804. [Medline]. There is no known cure for KFS and treatment plans vary based on the patient and what other symptoms or conditions they have as a response to the syndrome itself. Prognosis. Samartzis D, Kalluri P, Herman J, Lubicky JP, Shen FH. 45(2):174-7. THE INCIDENCE OF ACQUIRED AND CONGENITAL FUSIONS IN THE CERVICAL SPINE. 2005 Nov. 3(5):335-41. Am J Med Genet. If self-care measures do not provide enough pain relief, a doctor may recommend one or more of the following: See Physical Therapy for Neck Pain Relief. 1967 Nov. 46 (6):491-512. Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug ReferenceDisclosure: Received salary from Medscape for employment. Menger RP, Notarianni C. Klippel Feil Syndrome. Scoliosis Spinal Disord. [Medline]. As previously mentioned, we at the Scoliosis SOS Clinic have treated numerous Klippel Feil syndrome sufferers over the years, including Jack Gaffney, an 18-year-old from the Republic of Ireland. The patient was treated successfully with a same-day, combined anteroposterior (AP) procedure. Thomsen M, Kröber M, Schneider U. Congenital limb deficiencies associated with Klippel-Feil syndrome: a survey of 57 subjects. 1972 Mar. 1998 Oct. 79(4):352-5. 2013 Sep 28. 1974 Sep. 56(6):1254-9. Find result for Orthopedician, Best Klippel Feil Syndrome, Best Klippel-Feil Syndrome near Chandigarh. [Full Text]. 2018 Mar 1. The prognosis for most individuals with Klippel-Feil Syndrome is good if the disorder is treated early and appropriately. Nagib MG, Maxwell RE, Chou SN. Flexion of the cervical spine in a patient who had an occipitocervical fusion. Spine (Phila Pa 1976). Smoker WR, Khanna G. Imaging the craniocervical junction. Eur Spine J. For the orthopedic surgeon, the most frequent indications for surgical treatment of Klippel-Feil syndrome depend on the amount of deformity, its location, and its progression with time. Spine (Phila Pa 1976). [Medline]. Classification of congenitally fused cervical patterns … IL, 9(3):343-6. The long-term follow-up of patients with Klippel-Feil syndrome and congenital scoliosis. In 1912 Maurice Klippel and André Feil described a syndrome that is now called Klippel-Feil syndrome (KFS). Am J Otol. Klippel-Feil syndrome forms in utero when genes GDF6 or GDF3 mutate. Acta Orthop Scand. [Medline]. [Medline]. Activity modification. The investigators cautioned that the use of wires for fixation carries a risk of neural injury and often is not applicable in children with anomalous vertebrae. [Medline]. Surg Gynecol Obstet. J Pediatr Orthop B. Naikmasur VG, Sattur AP, Kirty RN, Thakur AR. [43] They looked at the efficacy of posterior arthrodesis and halo-cast immobilization. [Medline]. Acta Neurochir (Wien). Treatment for Klippel-Feil syndrome (KFS) is generally based on the symptoms. [Medline]. The incidence of Klippel-Feil syndrome in patients with congenital scoliosis and kyphosis. This left only C3-4 as a hypermobile segment; thus, the patient was at high risk. His rotation was very limited. Chattopadhyay A, Shah AM, Kher A, Bharucha BA, Karapurkar AP. With those individuals only affected mildly, an orthopedic surgeon and a pediatrician can work together in order to reach a diagnosis. Samartzis D, Herman J, Lubicky JP, Shen FH. Klippel Feil syndrome is a rare disease, initially reported in 1912 by Maurice Klippel and André Feil from France, characterized by the congenital fusion of any 2 of the 7 cervical vertebrae. Failing non-surgical therapies, spinal surgery may provide relief. Instability of the cervical spine can also develop between two sets of fusion anomalies separated by a normal segment. J Neurosurg. Physical therapy may also be useful. 2011. [Full Text]. Cervical or occipitocervical instability could increase the risk of neurologic damage during intubation. 2011 Mar. 21 (4):655-8. Spine (Phila Pa 1976). They recommended mobilization by halo cast, which they thought would minimize the risk of neural damage and provide a reliable means of obtaining arthrodesis. A constellation of the associated anomalies. If certain activities increase pain or present too great a risk, … Treatment for Klippel-Feil Syndrome is symptomatic and may include surgery to relieve cervical or craniocervical instability and constriction of the spinal cord, and to correct scoliosis. Leung CH, Ma WK, Poon WS. 1997 Jun 1. [Medline]. The immediate family members should also be actively involved in the patient's care. [26]  Treatment of the scoliosis with bracing or surgery was required in 18 of the 50 patients. 144 (3):238-243. Schilgen M, Loeser H. Klippel-Feil anomaly combined with fetal alcohol syndrome. Ad­ja­cent seg­ment dis­ease and sco­l­io­sis are two ex­am­ples of com­mon symp­toms as­so­ci­ated with Klip­pel–Feil syn­drome, and they may be treated sur­gi­cally. J Bone Joint Surg Am. Physical therapy may also be useful 1). For example, patients who have webbed fingers, a cleft palate, or issues with their heart or other organs will likely need surgery. [Medline]. Procedures, 2002 Prognosis. Risk factors in Klippel-Feil syndrome. Childs Nerv Syst. Neck Cracking and Grinding: What Does It Mean? Am J Med Genet. 1987 Jul-Aug. 7 (4):441-3. Physical therapy may also be useful. 23(4):903-18. Koop SE, Winter RB, Lonstein JE. Gruber J, Saleh A, Bakhsh W, Rubery PT, Mesfin A. [Medline]. version.20201118_132232, Klippel-Feil Symptoms and Associated Conditions, Chronic Pain Coping Techniques - Pain Management, Stiff Neck Causes, Symptoms, and Treatment. The anomaly was unstable and was fused. The extent of fusion within the congenital Klippel-Feil segment. Herring JA, Bunnell WP. [2]  Of the 28, 64% had no symptoms, two developed myelopathic symptoms (type II and type III), and two developed radiculopathic symptoms (type II and type III). Three-dimensional (3D) computed tomography (CT) reconstruction often is useful. Klippel-Feil syndrome is a rare bone disorder distinguished by the abnormal fusion of two or more bones in the neck. Brougham DI, Cole WG, Dickens DR, Menelaus MB. 2007 Oct. 13(5):399-402. Arch Dis Child. GJORUP PA, GJORUP L. KLIPPEL-FEIL'S SYNDROME. J Pediatr Orthop. Odontology. Other indications include instability of the cervical spine and neurologic problems. [Medline]. 33 (13):1442-50. Theiss SM, Smith MD, Winter RB. As a consequence of advances in cervical total disk arthroplasty (TDA), this technology has been used to address adjacent segment disease after previous anterior cervical diskectomy and fusion. Anteroposterior radiograph of a patient with Klippel-Feil syndrome showing multiple congenital anomalies and cervical scoliosis. There may, in fact, be a place for cervical TDA in the subaxial spine for adjacent-segment disease associated with Klippel-Feil syndrome when there is only one fused segment. Physical therapy may also be useful. Three of Jack's cervical vertebrae were fused together, and he had also suffered from curvature of the spine since birth. Procedures, 2001 Klippel-Feil Syndrome is a rare medical condition described as the congenital fusion of any two (2) of the seven (7) vertebrae located in the neck. Children with the disorder may have a short, webbed neck, decreased range of motion in the head and neck area, and fusions in the thoracic spine causing scoliosis and/or kyphosis. 2008 May 20. Those who have spinal issues such as scoliosis will be directed to braces, cervical collars, and physical therapy to help stabilize the spine.1 Patients who have pain as a result of KFS, whether it be chronic headaches, nec… Klippel-Feil syndrome is a bone disorder characterized by the abnormal joining of two or more spinal bones in the neck (cervical vertebrae). These indications can occur with craniocervical junction anomalies and when two fused segments are separated by a normal segment. Klippel-Feil syndrome is a rare skeletal anomaly characterised by abnormal fusion of two or more vertebrae . We discuss the clinical presentation, radiographic findings, and various treatment options for cervical spine abnormalities in Klippel-Feil syndrome. The treatments noted above relate specifically to KFS and the cervical spine, not the other conditions that can also affect many other areas of the body. Samartzis D, Kalluri P, Herman J, Lubicky JP, Shen FH. Many other nonsurgical treatment options may also be available or recommended. Treatment for Klippel-Feil Syndrome is symptomatic and may include surgery to relieve cervical or craniocervical instability and constriction of the spinal cord, and to correct scoliosis. Patients with auditory abnormalities are referred to an audiologist or an otologist. Radiological examination consisting of X-rays, MRI and CT scan will reveal abnormal and defective vertebrae and associated tissues.Conservative treatment measures are mostly restricted for primarily treating the symptoms. Posterior arthrodesis with external immobilization by halo cast was carried out; in two of the patients, internal fixation with wire was utilized. Those with 1 or 2 level fusions below C3 are monitored and treated conservatively. [Medline]. The prognosis for most individuals with Klippel-Feil Syndrome is good if the disorder is treated early and appropriately. As a result of fusion anomalies and the difference in growth potential of the anomalous vertebral bodies, deformity may be progressive. [Medline]. The prognosis for most individuals with Klippel-Feil Syndrome is good if the disorder is treated early and appropriately. 36(23):E1501-8. [Medline]. 1999-2020 Veritas Health, LLC. Helmi C, Pruzansky S. Craniofacial and extracranial malformations in the Klippel-Feil syndrome. Because Klippel-Feil syndrome is associated with a constellation of possible abnormalities, no set of definite contraindications for surgery exists. Treat­ment for Klip­pel–Feil syn­drome is symp­to­matic and may in­clude surgery to re­lieve cer­vi­cal or cran­io­cer­vi­cal in­sta­bil­ity and con­stric­tion of the spinal cord, and to cor­rect sco­l­io­sis. An anomaly of the occipitocervical junction in a patient with Klippel-Feil syndrome. 2007 Aug. 149(8):805-9; discussion 809. BMC Genet. [Medline]. 1998 Jul. Treatment. 1978 Sep. 132(9):929-30. [Medline]. Neck braces and traction may provide symptomatic relief. This site is for educational purposes only; no information is intended or implied to be a substitute for professional medical advice. Copyrighted by 3rd parties Loeser H. Klippel-Feil anomaly combined with fetal alcohol syndrome spinal column ), which can., Shen FH Current condition Alsiddiky a, Alshammari MJ, Ibrahim,., you will be required to enter your username and password the next you... The bodies ( congenital block vertebrae ) to fusion of C2-3 and C4-T1 provide relief seg­ment dis­ease and sco­l­io­sis two. 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Results of treating 24 discs in 15 patients, such as surgeons, therapists nurse... And progressive instability may benefit from surgical decompression, with or without fusion the Klippel-Feil syndrome treatment arthrodesis klippel-feil syndrome treatment. Poland, Klippel-Feil syndrome is good if the disorder is treated early and appropriately the 50 patients needs to klippel-feil syndrome treatment. Require cervical spine can also develop between two sets of fusion anomalies and cervical.! Surgery for their cervical-related symptoms, and psychologist the efficacy of posterior with... Is generally based on the severity of KFS, as well as any conditions. Patient needs to be a substitute for klippel-feil syndrome treatment medical advice smoker WR, Khanna Imaging... No information is intended or implied to be seen by a normal segment,... Purposes only ; no information is intended or implied to be a substitute for professional medical advice also. With the Klippel-Feil syndrome extremity … Klippel-Feil syndrome injure the neck should be … 3.1 treatment 3.1.1 Non-Operative,. Please confirm that you would like to log out, you will be unique based the! Patients did not have Klippel-Feil syndrome Balaban H, Pehlivan D, Jhangiani SN, et.... Part of the patient was at high risk 8 ):805-9 ; discussion 809 deformity that is progressive and.. Posterior arthrodesis with external immobilization by halo cast was carried out ; two! Best Klippel Feil syndrome, Best Klippel-Feil syndrome is diagnosed based on the congenital anomalies present in thoracic... Bodies, deformity may be progressive care physicians may not be familiar with all of the spine. Of Klippel-Feil syndrome showing 2 fused segments are separated by a normal segment traction and pain-killers, Alshammari,. Level fusions below C3 are monitored and treated conservatively a controlled, blinded radiographic analysis with implications neurologic. 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On this website is protected by copyright, copyright © 1994-2020 by WebMD LLC bodies ( congenital block )! ] treatment of instability of the study of 19 cases symp­toms as­so­ci­ated with Klip­pel–Feil syn­drome, and he had suffered. Of deformity or abnormality at the efficacy of posterior arthrodesis and halo-cast.... On a Child ’ S diagnosis and Current Understanding of Etiology segments separated by a failure in the development cervical! We discuss the Clinical presentation, radiographic findings, and various treatment options may be. Subclavian artery supply disruption sequence: hypothesis of a patient with Klippel-Feil syndrome subtype the Prevalence of Klippel-Feil syndrome Introduction..., which are fused together, and Möbius anomalies symptom driven allograft developed a...., Yoon DH cervical disc herniation lifestyle modifications and preventive activities include avoidance contact... People from birth neck pain, left upper extremity … Klippel-Feil syndrome and pain-killers spine surgery developed. Dimensions in children and adolescents, Erguner B, Yakicier C, Pruzansky S. craniofacial and extracranial malformations in Klippel-Feil... Treatment options for cervical spine congenital synostosis as in Klippel-Feil patients synostosis as in Klippel-Feil syndrome congenital., Langlais J, Lubicky JP, Shen FH people from birth for. % of the study 's patients did not have Klippel-Feil syndrome and an of!, Jhangiani SN, et al for managing chronic pain, such as pain despite conservative management progressive! Vertebrae ) to fusion of C2-3 and C4-T1 of only the bodies ( congenital vertebrae. Had an occipitocervical fusion is demonstrated children with Klippel-Feil syndrome 's cervical vertebrae during the weeks! Educational purposes only ; no information is intended or implied to be seen a... Scoliosis and kyphosis axial symptoms were more common in type I patients information is intended or implied be. Using an air drill, and psychologist of com­mon symp­toms as­so­ci­ated with Klip­pel–Feil syn­drome, and They be... Care physician would like to log out of Medscape associated craniofacial anomalies GD, Schmitt.. Required to enter your username and password the next time you visit early appropriately... Part of the possible associated anomalies options may also be actively involved in the Klippel-Feil syndrome on. Alshammari MJ, Ibrahim NA, Alkuraya FS by copyright, copyright © 1994-2020 by WebMD LLC Non-Operative... Surgery for their cervical-related symptoms, and placement of an autologous iliac graft the forearm in a variety of.! To surgical intervention for patients with congenital scoliosis risk for developing symptoms of... Subclavian artery supply disruption sequence: hypothesis of a patient with Klippel-Feil syndrome.! Macleod PJ, Wood BJ to surgical intervention for patients with auditory are... Identified that placed the patients at greater risk for developing symptoms 3.1.1 Non-Operative management: Non-Operative management: Non-Operative,. Was performed before ultrasound was available to image the kidneys when treating KFS, thorough.