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Gornet, M.F., Lanman, T.H., Burkus, J.K., Dryer, R.F., McConnell, J.R., Hodges, S.D., et al. (2019) Two-Level Cervical Disc Arthroplasty versus Anterior Cervical Discectomy and Fusion: 10-Year Outcomes of a Prospective, Randomized Investigational Device Exemption Clinical Trial. Journal of Neurosurgery: Spine SPI, 31, 508-518.
https://doi.org/10.3171/2019.4.SPINE19157

has been cited by the following article:

• TITLE: Cervical Spine Cord Injury Associated with Klippel-Feil Syndrome: A Case Report

  AUTHORS: Roger Mulumba Ilunga, Mohameth Faye, Abdoulaye Diop, Nicaise Akodjetin Mahougnon Sodjinou, Vital Nacoulma

  KEYWORDS: Klippel-Feil, Spinal Cord Injury, Cervical Disc Herniation

  JOURNAL NAME: Open Journal of Orthopedics, Vol.11 No.4, April 21, 2021

  ABSTRACT: Background: Klippel Feil syndrome (KFS) is a congenital malformation characterised by the presence of, at least, one fused cervical segment and results from faulty segmentation along the embryo’s developing axis during weeks 3 - 8 of gestation. The KFS increases the risk for spinal cord injury after minor trauma as a result of the disturbance of the biomechanics of the cervical spine. Persons with KFS often have associated congenital anomalies. Aim: The purpose of this study was to show the surgical management difficulties of this pathology in a low income country such as Senegal and to make a review of the literature. Case presentation: A 32-year-old man developed a tetraparesis secondary to a fall from his height while carrying a bag of rice on his head. Radiological explorations revealed fusedC2-C3 and C4-C5 vertebral bodies with a C3-C4 disc herniation associated to a spine contusion. The patient underwent surgical removal of the herniated disc via an anterior approach followed by interbody fusion and anterior plating. A complete recovery was noted at 4 months follow-up. Conclusion: Understanding of the cervical spine biomechanics of Klippel-Feil anomaly may allow an optimal management of patients. Patients with KFS should be warned of the increased risk of spinal cord injury after a low velocity trauma. Timing for surgery should be shortened.