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Updated: May 26, 2026

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Klippel-Feil Syndrome: A Rare Case Report.

Mustafa Al Jaafar1, Alyaa Nooruldeen Shawqi Aljafr2

  • 1Department of Internal Medicine, Ibn Zuhur Hospital, Jisr Diyala, Iraq.

Case Reports in Radiology
|May 25, 2026
PubMed
Summary

Conservative management effectively reduced neck pain and improved motion in an 18-year-old male with Klippel-Feil syndrome (KFS). This approach is efficient for KFS patients without neurological deficits.

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Area of Science:

  • Orthopedics
  • Neurology
  • Genetics

Background:

  • Klippel-Feil syndrome (KFS) is a rare congenital disorder characterized by the fusion of at least two cervical vertebrae.
  • KFS can present with a spectrum of clinical manifestations, including short neck, limited neck mobility, and spinal deformities.
  • Neurological deficits are a common complication, but some patients, particularly those with milder forms like Samartzis Type II, may remain neurologically intact.

Purpose of the Study:

  • To report a case of Klippel-Feil syndrome in an adolescent male.
  • To evaluate the effectiveness of conservative management in a KFS patient without neurological deficits.
  • To emphasize the benefits of non-surgical interventions for specific KFS classifications.

Main Methods:

  • A case study of an 18-year-old Iraqi male diagnosed with Klippel-Feil syndrome.
Keywords:
KFSconservative managementrare disease

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  • Diagnosis confirmed through physical examination and imaging studies revealing cervical spine fusion and spinal deformities.
  • Treatment involved a 12-month course of conservative management, including a corrective collar, cervical traction (5 kg), and physiotherapy.

    • Main Results:

    • The patient presented with classic KFS features: short neck, low hairline, winged scapula, scoliosis, kyphoscoliosis, and Sprengel's deformity.
    • Following 12 months of conservative treatment, significant reduction in neck pain was observed.
    • A notable increase in the patient's cervical range of motion was achieved.

    Conclusions:

    • Conservative management, including bracing, traction, and physiotherapy, can be highly effective for Klippel-Feil syndrome patients without neurological compromise.
    • This case supports the efficacy of non-surgical interventions for Samartzis Type II KFS.
    • Early and targeted conservative treatment can significantly improve pain and functional outcomes in selected KFS patients.