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2015 ; 12
(3
): 225-9
Nephropedia Template TP
gab.com Text
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English Wikipedia
Two Cases of Klippel-Feil Syndrome with Cervical Myelopathy Successfully Treated
by Simple Decompression without Fixation
#MMPMID26512291
Kim JB
; Park SW
; Lee YS
; Nam TK
; Park YS
; Kim YB
Korean J Spine
2015[Sep]; 12
(3
): 225-9
PMID26512291
show ga
Klippel-Feil syndrome (KFS) is a congenital developmental disorder of cervical
spine, showing short neck with restricted neck motion, low hairline, and high
thoracic cage due to multilevel cervical fusion. Radiculopathy or myelopathy can
be accompanied. There were 2 patients who were diagnosed as KFS with exhibited
radiological and physical characteristics. Both patients had stenosis and cord
compression at C1 level due to anterior displacement of C1 posterior arch
secondary to kyphotic deformity of upper cervical spine, which has been usually
indicative to craniocervical fixation. One patient was referred due to
quadriparesis detected after surgery for aortic arch aneurysmal dilatation. The
other patient was referred to us due to paraparesis and radiating pain in all
extremities developed during gynecological examinations. Decompressive C1
laminectomy was done for one patient and additional suboccipital craniectomy for
the other. No craniocervical fixation was done because there was no spinal
instability. Motor power improved immediately after the operation in both
patients. Motor functions and spinal stability were well preserved in both
patients for 2 years. In KFS patients with myelopathy at the C1 level without
C1-2 instability, a favorable outcome could be achieved by a simple decompression
without spinal fixation.