Is atlantoaxial instability the cause of type 3 Klippel-Feil anomaly? Outcome analysis of 99 patients treated by atlantoaxial fixation: A case series
Atul Goel, Nasser M. F. El-Ghandour, Abhidha Shah, Apurva Prasad, Jash Doshi, Siddharth Gautam, Ravikiran Vutha, Tejas Vaja · 2026
Read Is atlantoaxial instability the cause of type 3 Klippel-Feil anomaly? Outcome analysis of 99 patients treated by atlantoaxial fixation: A case series by Atul Goel, Nasser M. F. El-Ghandour, Abhidha Shah, Apurva Prasad, Jash Doshi, Siddharth Gautam, Ravikiran Vutha, Tejas Vaja (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13506113.txt.
Description
Atul Goel and colleagues present ninety-nine patients with type 3 Klippel-Feil anomaly, a condition where neck vertebrae at and below the third cervical level are fused together. Patients treated between 2004 and 2024 ranged from four to fifty-four years old and all had weakness and sensory problems alongside neck pain and stiffness. Many also carried linked findings such as Chiari formation, a fluid-filled cord cavity, or an atlas fused to the skull.
Every patient received fixation of the top two vertebrae, with no bone removal at any level. Follow-up stretched from three months to nearly sixteen years, and clinical improvement appeared in all patients. The authors argue the fusions and related changes are protective responses to chronic instability at the atlantoaxial joint, not primary defects. On that reading, stabilising that joint can reverse changes long treated as fixed and deliver life-changing gains.
Catalog record
| CREATOR | Atul Goel, Nasser M. F. El-Ghandour, Abhidha Shah, Apurva Prasad, Jash Doshi, Siddharth Gautam, Ravikiran Vutha, Tejas Vaja |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 27323 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |