What workup should be performed for a patient diagnosed with Klippel Feil syndrome

Diagnosis of a congenital cervical fusion should prompt assessment of the genitourinary system (renal ultrasound), cardiac system (echocardiogram, cardiology referral), and auditory system (hearing test). Neurologic symptoms should be evaluated with an MRI of the brainstem and cervical spine. Cervical instability is evaluated with flexion and extension radiographs.

Space available for cord

Space available for cord

Figure 37-3. Measurements for atlas-dens interval (ADI) and the space available for the cord (SAC) as determined on lateral cervical radiographs. (From Herman MJ, Pizzutillo PD. Cervical spine disorders in children. Orthop Clin North Am 1999;320:457-75, with permission.)

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