Klippel and Feil in 1912, first described the disorder in a 46-year-old French man who had a short immobile neck with massive fusion of cervical and upper thoracic vertebrae,1 which came to be known as the Klippel-Feil

Klippel and Feil in 1912, first described the disorder in a 46-year-old French man who had a short immobile neck with massive fusion of cervical and upper thoracic vertebrae,1 which came to be known as the Klippel-Feil syndrome. Later on, other anomalies were described in association with it thus making it a multi-system congenital disorder. It is characterized by fusion of cervical vertebrae as a result of defect in their formation or segmentation. The resulting triad consists of short neck, low posterior hairline, and limited neck movement, but less than 50% of patients demonstrate all the three clinical features.2 The importance of recognizing KlippelFeil syndrome lies in the fact that there is strong association of this anomaly with other significant conditions like scoliosis and/or kyphosis (60%), Sprengel’s deformity (30%), torticollis, urinary system abnormalities (35%), loss of hearing (30%), facial asymmetry and flattening of neck (20%), synkinesis or mirror movements (20%), congenital heart diseases (4.2-14%), brain stem anomalies, congenital cervical stenosis, adrenal aplasia, ptosis, lateral rectus muscle paralysis, facial nerve paralysis, syndactily, diffuse or focal hypoplasia in upper extremities and agenesis of lungs and gallbladder may also be seen.2,3