Klippel-Feil syndrome with Sprengel deformity

120 views516y Female10/9/2026

Clinical Presentation

Neck pain with limited range of motion

1There is fusion of the C4, C5, C6 and C7 vertebrae.A cervical rib is seen emanating from the left C7 transverse process.There is an elongated bone alongside the left lateral aspect of the C7 to T3 vertebrae which likely represents an omovertebral bone
2The atlas demonstrates an anterior arch cleft and a large osseous defect involving its left posterior hemiarch and posterior tubercle.There is fusion of the vertebral bodies and most o the posterior elements of C4, C5, C6, C7 and T1 vertebrae
3The fused vertebral bodies appear hypo plastic with reduced anteroposterior diameter and an anterior concavity giving a wasp-waist appearance
4The C5 vertebral body has a butterfly configuration
5The intervertebral discs at these levels are rudimentary
6These findings are compatible with Klippel-Feil syndrome.Spina bifida is noted at the C4, C5, C6 and C7 vertebrae.Cervicothoracic scoliosis is demonstrated.There is a cervical rib projecting from the left C7 transverse process.The left scapula is higher than usual
7There is a bony structure (omovertebral bone) running along the left side of the spinous processes of C7 to T3 and terminating at the medial border of the left scapula, probably with fibrous fusion or attachment
8These findings are reflective of Sprengel deformity.