Abstract
Klippel feil syndrome is a rare entity. After its first description in 1912 by Maurice Klippel, a French neurologist and psychiatrist and Andre Feil, a French neurologist the management of this syndrome still poses a big challenge to clinicians, orthopaedic surgeons , anaesthetists and intensivists. They described patients who have a short neck, decreased range of motion in the cervical spine and a low posterior hairline. It involves congenital failure of segmentation of cervical vertebrae which results from failure of normal segmentation of cervical somites at 3-8 weeks of gestation resulting in multiple fused segments. Spectrum of deformity ranges from fusion of 2 vertebrae to involvement of entire cervical spine. Fusion of C2 & C3 is most common. Here we report the anaesthetic management of a case of Klippel-Feil syndrome who presented with fracture both bones left forearm scheduled for open reduction and internal fixation.
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