Title of the article: Understanding of Klippel Feil Syndrome: A Case Report
ABSTRACT: Klippel Feil Syndrome was first delineated by Maurice Klippel and Andre Feil in 1912 in patient with congenital fusion of cervical vertebrae. Traditional clinical triad of Klippel-Feil disorder is low posterior hair line, short neck and restriction of restriction of head & neck ROM.
Case report: A 35 year old young female directly presented to outpatient department of physiotherapy with complain of pain in neck and morning stiffness. While examined there was clinical triad i.e. lower posterior hair line, short neck and biomechanical alteration in cervical spine range of motion were noted. Single level cervical fusion was reported on radiological investigations.
Conclusion: Axial symptoms neck pain, neck stiffness…show more content… She was able to hold only up to 24 mm of hg pressure for 10 sec. It was suggestive of reduction in deep flexor muscle endurance.
Spinal mobility: According to MENNELL'S classification reveled ankylosing at C4-C5 region, slight hypomobility in upper region and hypermobility in lower region of it. (Table: 1)
DISCUSSION:
The Klippel-Feil syndrome is a congenital anatomical defect in the neck, which includes fusion of two or more cervical vertebrae.8 Classical clinical triad of Klippel-Feil syndrome is lower posterior hair line, short neck and restriction of head & neck movements. In the present case, the above following features were observed. This classical triad is seen in about 40-50% and the most common finding is restriction of movements with a ratio of 50-76%.3, 4
Feil has classified this syndrome into 3 categories: Type I-A massive fusion of the cervical spine, Type II -Fusion of 1 or 2 cervical vertebrae and Type III -Type I or II Klippel-feil syndrome with thoracic and lumbar spine anomalies. Type II is commonest; C2-3 and C5-6 inter-spaces are most often
