Traumatic Myelopafhy in a Seventeen-Year-Old Child with Cervical Spinal Stenosis (Without Fracture or Dislocation) and a C2-C3 Klippel-Feil Fusion

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Abstract
A 17-yr-old white male patient sustained a cervical hyperextension injury while body surfing. Plain cervical radiographs, tomography and CAT [computed axial tomography] scan showed neither fracture nor subluxation, but congenital narrowing of the spinal canal and fusion of [cervical] C2-C3 (Klippel-Feil). Clinically, he had a central cord syndrome, characterized by a motor dominant myelopathy. The conservative management of this patient with a central cord injury in the presence of spinal stenosis and a Klippel-Feil syndrome resulted in almost full recovery although he was quadriplegic initially. This constellation of findings rarely has been reported in adolescence.

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