Congenital variants: vertebrae
Pain 1 year after motor vehicle accident.
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There is fusion of the bodies and posterior elements at the level of C2/3. A hypoplastic right first rib is seen and there is spina bifida occulta at S1. A lumbar scoliosis is also seen.
The patient attended 1 year after a motor vehicle accident complaining of neck and back pain. No obvious traumatic findings but multiple spinal congenital anomalies were noted.
Klippel-Feil syndrome should be considered in light of the multiple anomalies noted. This condition is thought to occur in about 1 in 40,000 with a slight preference for females.