Intertrochanteric Fractures - Klippel Feil Syndrome

 

Definition

  • congenital failure of segmentation of cervical vertebrae
  • result in multiple fused cervical segments
  • fusion of 2 vertebrae to involvement of entire C-spine
  • fusion of C-2 & C-3 most common
  • may have instability

Clinical triad

  • low posterior hairline
  • short neck
  • limited neck motion (esp. lateral side bending)

Associated Conditions

  • scoliosis
  • seen in 60%
  • majority require treatment
  • Sprengel deformity
  • renal dx.
  • congenital heart dx
  • brain stem abnormalities

Diff dg.

  • juvenile rheumatoid arthritis
  • other congenital C-spine abN

Treatment

  • assess for instability
  • fusion if unstable