A Case Report of Neck Pain Patient with Klippel-Feil Syndrome by Cervical Manipulation Treatment

Klippel-Feil 증후군 환자의 경추 도수치료 후 발생한 부작용 치험1례

  • Lee, Jong-Ha (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Dongguk University) ;
  • Kwon, Jeong-Gook (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Dongguk University) ;
  • Keum, Dong-Ho (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Dongguk University)
  • 이종하 (동국대학교 한의과대학 한방재활의학과교실) ;
  • 권정국 (동국대학교 한의과대학 한방재활의학과교실) ;
  • 금동호 (동국대학교 한의과대학 한방재활의학과교실)
  • Received : 2015.03.16
  • Accepted : 2015.04.08
  • Published : 2015.04.30


The Klippel-Feil Syndrome (KFS) is characterized by congenital fusion of two or more vertebrae with hypermobile normal segment. According to this, a patient with KFS can be at risk of severe neurological symptoms after manipulation treatment. We had a KFS patient who suffered from neck pain and limited range of motion at cervical after manipulation treatment. The patient, 49-year-old woman was diagnosed as KFS through Cervical X-ray and MRI. The patient was treated by acupuncture therapy and SCENAR therapy. We measured neck pain by visual analog scale (VAS) and neck disability index (NDI) and checked range of motion at cervical before and after the treatments. After 8 times treatments, the patient's pain decreased and the range of motion increased. From this case, we can recognize the risk of Chuna manipulation treatment for KFS patient. So, we suggest that radiological examination is needed before cervical Chuna manipulation treatment to avoid adverse reactions.


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