Report of two cases with omovertebral bone and Klippel–Feil syndrome with craniovertebral junction instability

Autor: Abhidha Shah, Akshay Hawaldar, Aditya Lunawat, Saswat Dandpat, Atul Goel
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Craniovertebral Junction and Spine, Vol 12, Iss 1, Pp 95-98 (2021)
Druh dokumentu: article
ISSN: 0974-8237
DOI: 10.4103/jcvjs.jcvjs_7_21
Popis: We present a report of two patients having the association of omovertebra, Sprengel's deformity of the shoulder and Klippel–Feil abnormality with craniovertebral junctional instability. Our literature survey did not locate any report of such association. Significance of bone alterations is analyzed. Two young patients presented with neck pain, torticollis, webbed neck, and spastic quadriparesis. In both patients, the investigations revealed basilar invagination, Klippel–Feil abnormality and Sprengel's deformity of the shoulder. Apart from these relatively common associations, both the patients had omovertebral bone that extended from the transverse process of C5 vertebra to scapula. Following atlantoaxial stabilization surgery, the patients rapidly recovered from all symptoms. Musculoskeletal abnormalities at the craniovertebral junction that include Klippel–Feil abnormality, Sprengel's shoulder, and omovertebra are secondary alterations to primary atlantoaxial instability.
Databáze: Directory of Open Access Journals
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