Klippel–Feil syndrome with associated cervical rib in a human skeleton from Wągrowiec (Poland, 14th–17th centuries)

This paper presents congenital anomalies characteristic of Klippel–Feil syndrome, type II, diagnosed in the skeleton of a young to middle‐aged woman uncovered in a cemetery adjacent to the Church of St. Jacob the Apostle in Wągrowiec (Poland), from a grave within an archaeological layer dated to the 14th–17th centuries. A rare type of fusion was identified between the sixth and seventh cervical vertebrae only, co‐occurring with a well‐developed right cervical rib fused to the shaft of the first thoracic rib and articulated via synovial joints with the seventh cervical vertebra. The fusion of the cervical vertebrae involved their bodies, right laminae, and parts of the right articular processes. The interpretation of the presence of Klippel–Feil syndrome is additionally supported by the absence of any evidence of trauma in the cervical region of the spine or of pathological changes in the skeleton indicative of diffuse idiopathic skeletal hyperostosis or ankylosing spondylitis. The formation of Schmorl's nodes and degenerative changes in apophyseal joint surfaces diagnosed in the cervical vertebrae were probably secondary in relation to the observed congenital anomalies. Additionally, examinations revealed ossified insertions of the ligamentum flavum and degenerative changes of the vertebrae in the lower region of the spine as well as incomplete posterior bridge of the atlas, torus mandibularis, and humerus septal aperture

Ankylosing spondylitis · Cervical vertebrae · Rib cage · Vertebra · Hip disorders and treatments · Medicine · Pelvic and Acetabular Injuries · Shoulder and Clavicle Injuries · Anatomy · Surgery

• C2–C3 block vertebrae in a late Neolithic/Chalcolithic child exhumed from a Portuguese collective grave

  Open Access•A M Silva, Maria Teresa Ferreira•HOMO•2008

  Incluir item

• The Ontogenetic Development of the Cervical Rib

  Open Access•Black, Sue Black et al.•International Journal of…•1997

  Incluir item

• Identification of pathological conditions in human skeletal remains

  Open Access•Keith Manchester•Journal of Archaeological Science•1987

  Incluir item

• Skeleton keys

  Open Access•J E Buikstra•International Journal of…•1996

  Incluir item

• Health status of the Neolithic population of Alepotrypa Cave, Greece

  Open Access•Anastasia Papathanasiou•American Journal of Physical…•2005

  Incluir item

• Cervical Spine Anomalies

  Open Access•Justyna Marchewka‐długońska, J Marchewka et al.•International Journal of…•2017

  Incluir item

• Klippel-Feil syndrome in an Early Hungarian Period juvenile skeleton from Austria

  Open Access•D Pany, Maria Teschler-Nicola et al.•International Journal of…•2007

  Incluir item

• Wyniki badań antropologicznych przypadku Zespołu Klippel-Feila z rozszczepem podniebienia

  Open Access•M Henneberg, Piotr Otocki•Anthropological Review•1974

  Incluir item