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Related Experiment Videos

[Bipartite atlas].

J P Lemaire, J F Couaillier, P Grammont

    Revue De Chirurgie Orthopedique Et Reparatrice De L'Appareil Moteur
    |January 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    A rare pediatric case presents severe Klippel-Feil syndrome with extensive cervical spine fusion and rib abnormalities. Surgical intervention included posterior spine fusion for improved stability.

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    Area of Science:

    • Pediatric Orthopedics
    • Medical Genetics
    • Skeletal Dysplasias

    Background:

    • Klippel-Feil syndrome is a congenital disorder characterized by the fusion of two or more cervical vertebrae.
    • Cervical spine abnormalities can lead to significant morbidity, including neurological deficits and spinal instability.
    • Rib abnormalities are sometimes associated with Klippel-Feil syndrome, but extensive fusion is uncommon.

    Observation:

    • A 12-year-old child presented with multiple rib abnormalities and Klippel-Feil syndrome.
    • Complete fusion of the cervical spine from C2 to C7 was observed.
    • The atlas (C1 vertebra) exhibited abnormal ossification of both anterior and posterior arches.

    Findings:

    • The patient displayed a unique combination of severe cervical spine fusion (C2-C7) and associated rib anomalies.

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  • Abnormal ossification patterns in the atlas were noted, further distinguishing this case.
  • A thorough literature search revealed no previously reported similar cases, highlighting the rarity of this presentation.

    • Implications:

    • This case underscores the diverse spectrum of skeletal abnormalities that can occur in Klippel-Feil syndrome.
    • Understanding such rare presentations is crucial for accurate diagnosis and tailored management strategies in pediatric patients.
    • The surgical approach, including posterior spine fusion of C1-C2, provides insights into managing severe cervical instability in complex cases.