On this episode, student Casey Rogers from Keiser University College of Chiropractic Medicine shares a case of a 62 year old woman with a congenital fusion.
Casey Rogers is a student in his 8th semester at Keiser University College of Chiropractic Medicine in West Palm Beach, Florida. Currently, he is a student intern at the Keiser University Spine Care Clinic, A Chiropractic Healthcare Facility.
Prior to his chiropractic education, he worked as a radiologic technologist for the University of Pittsburgh Medical Center and attained his Bachelor of Science and Associate of Science degrees from Gannon University in Erie, Pennsylvania. As well, he attended the Lake Erie College of Osteopathic Medicine for a year of Post-Baccalaureate studies.
At Keiser, Casey served as the President of the school’s inaugural chapter of the Student American Chiropractic Association and currently serves as student representative of the Research and Curriculum Committees.
When not in class, he enjoys time at the beach, fishing, hunting, and the great outdoors. Casey also is an avid hockey fan and can found cheering on the Pittsburgh Penguins.
After graduation, he intends on applying to a chiropractic residency or fellowship where he can continue to utilize Cox Technic and further research.
Resources:
Episode 94 Dr. Christophe Dean – Multi-Disciplinary Approach
Episode 60 Dr. Daniel Clark – Diagnostic Imaging for Low Back Pain
Episode 15 Dr. Lee Hazen – Failed Back Surgery Syndrome
Episode 36 Dr. Gary Stefanick – Disc Herniation and Sciatica
Episode 44 – Dr. Evelyne Bruneau – Back Pain with Sciatica
Episode 45 – Dr. James Cox – Back Surgery
Excellent presentation on the treatment of Klippel-Feil syndrome. The following paper was published today on the incidence of this congenital alteration in the cervical spine. hopefully this enhances this presentation.
THE PREVALENCE OF KFS AMONGST 831 PEDIATRIC PATIENTS, WHO UNDERWENT CERVICAL CT IMAGING OVER A 3-YEAR PERIOD, WAS 1.2% (APPROXIMATELY 1 IN 83). THE MOST COMMONLY FUSED SPINAL LEVELS WERE C2-C3 AND C5-C6. THE PREVALENCE OF KFS IN OUR STUDY WAS HIGHER THAN PREVIOUSLY DESCRIBED, AND THUS WARRANTS MONITORING.
J Spine Surg. 2019 Mar;5(1):66-71. doi: 10.21037/jss.2019.01.02.
The prevalence of Klippel-Feil syndrome in pediatric patients: analysis of 831 CT scans.
Moses JT1, Williams DM2, Rubery PT2, Mesfin A2.
Author information
Abstract
BACKGROUND:
To evaluate the prevalence of Klippel-Feil syndrome (KFS) in pediatric patients obtaining cervical CT imaging in the emergency room (ER).
METHODS:
We evaluated CT scans of the cervical spine of pediatric patients treated in the ER of a Level I Trauma Center from January 2013 to December 2015. Along with analysis of the CT scans for KFS, the following demographics were collected: age, sex, race and ethnicity. Mechanism of injury was also established for all patients. If KFS was present, it was classified using Samartzis classification as type I (single level fusion), type II (multiple, noncontiguous fused segments) or type III (multiple, contiguous fused segments).
RESULTS:
Of the 848 cervical CTs taken for pediatric ER patients during the study period, 831 were included. Of these patients, 10 had KFS, a prevalence of 1.2%. According to Samartzis classification, 9 were type I and 1 type III. The average age of patients with KFS was 16.02 years (10-18 years), with 8 males (80%) and 2 females (20%). Three had congenital fusions at vertebral levels C2-C3, two at C3-C4, three at C5-C6, one at C6-C7, and one with multiple levels of cervical fusion.
CONCLUSIONS:
The prevalence of KFS amongst 831 pediatric patients, who underwent cervical CT imaging over a 3-year period, was 1.2% (approximately 1 in 83). The most commonly fused spinal levels were C2-C3 and C5-C6. The prevalence of KFS in our study was higher than previously described, and thus warrants monitoring.