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Abstract
To our knowledge, metastasis to the site of congenital cervical fusion in Klippel-Feil syndrome (KFS) has not been described before and this report describes the management. The patient’s clinical presentation, imaging findings, and surgical treatment and outcomes are described. This is a case of a 47-year-old man with severe right C5 radicular symptoms with associated weakness as the first presentation of metastatic pancreatic cancer. The lesion involved the anterior and posterior elements of congenitally fused C4–C5 vertebrae with right foraminal involvement. The patient was managed with C2–T1 posterior spinal fusion and instrumentation with C4–C6 laminectomy and debulking of the lesion. The patient had resolution of his radicular symptoms. The cervical spine accounts for 8–15% of metastatic spine disease. KFS and congenital cervical fusion are uncommon. To our knowledge, this is the first description of a metastatic spine disease at a level of a congenital cervical fusion. The patient underwent successful surgical intervention consisting of posterior spinal fusion and laminectomy.
Published Version
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