74 A 41-year-old woman with Klippel-Feil syndrome complained of chronic neck and upper extremity pain, radiating into both hands. This improved with shaking her hands out, and was worsened by repetitive movements. FIGURE 74-1 X-ray of the cervical spine shows autofusion over multiple segments. On physical examination, she had the typical aborted neck of these patients, and her examination uncovered a positive Phalen’s sign bilaterally. X-ray and magnetic resonance imaging (MRI) of the cervical spine show the classical fusion of cervical vertebral bodies and basilar invagination, without cord compression (Figs. 74-1 and 74-2).
Klippel-Feil Spine
Presentation
Radiologic Findings
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