Bilateral Multilevel Cervical Rib and Bilateral Omovertebra in Klippel-Feil Syndrome


Satış S, Alparslan N, Tuna M, Dere O, Yetişgin A.

World Neurosurg. 2020 Apr;136:62-65. doi: 10.1016/j.wneu.2020.01.010. Epub 2020 Jan 10.

PMID: 31931249

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Background: Klippel-Feil syndrome was first described in 1912; a short neck, low posterior hairline, and decreased cervical joint range of motion are the classical triad of this disease. In this syndrome, which is rarely observed, the characteristics that have been reported include the following: scoliosis; Sprengel deformity; cervical rib; ear, nose, oral, and laryngeal abnormalities; structural abnormalities of the urinary system; and congenital heart diseases. However, bilateral omovertebra and bilateral multilevel cervical ribs have not been reported.

Case description: We aimed to present this rare syndrome via radiologic findings from cases with bilateral multilevel cervical rib and bilateral omovertebra.

Conclusions: Cases of Klippel-Feil syndrome may be accompanied by multiple abnormalities. We want to highlight the need for detailed examination of patients and lifestyle modification at an early age, before symptom appearance, as well as adaptation to habitual exercise.