A high intake of fluids is still the most powerful and certainly the most economical means of prevention of nephrolithiasis. A large fluid intake is recommended for these patients. Health professionals, caring for cervical spinal cord injury patients with Klippel-Feil syndrome and renal anomalies, should place emphasis on prevention of kidney stones. Stones in an ectopic kidney pose a challenge for percutaneous nephrolithotripsy and for extra corporeal shock wave lithotripsy. It is estimated that within 10 years after injury, 7% of persons with spinal cord injury will develop their first kidney stone. Spinal cord injury patients are at high risk for developing renal stones. Our patient developed cervical spinal cord injury twice, which highlights the fact that persons with Klippel-Feil syndrome may be at high risk for developing a transient neuralgic deficit following minor trauma. Elster reported 35-year old male with Klippel-Feil syndrome who developed tetraplegia after only a minor trauma. A second case involved a 17-year old male with Klippel-Feil syndrome who became tetraplegic when he sustained a so-called whiplash injury in an automobile accident. A 13-year old girl was rendered tetraplegic by falling out of bed trying to shut off her alarm clock. Strax and Baran reported two patients with Klippel-Feil syndrome who developed tetraplegia after minor trauma. Potentially crippling or fatal subluxations may occur at these levels. When multiple block vertebrae are present, the normal segments may become hypermobile and be subjected to significantly increased stress. This is probably related to the fused segments and the resultant altered mechanical force transfer that makes the adjacent non-fused segments excessively mobile. Patients with Klippel-Feil syndrome and cervical stenosis may be at increased risk of sustaining a transient neurologic deficit after minor trauma.
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