{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:54:58Z","timestamp":1791392098779,"version":"4.3.3"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2019,7,30]],"date-time":"2019-07-30T00:00:00Z","timestamp":1564444800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2019,7,30]],"date-time":"2019-07-30T00:00:00Z","timestamp":1564444800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Spine J"],"published-print":{"date-parts":[[2019,10]]},"DOI":"10.1007\/s00586-019-06084-0","type":"journal-article","created":{"date-parts":[[2019,7,30]],"date-time":"2019-07-30T09:02:53Z","timestamp":1564477373000},"page":"2257-2265","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Demographics, presentation and symptoms of patients with Klippel-Feil syndrome: analysis of a global patient-reported registry"],"prefix":"10.1007","volume":"28","author":[{"given":"Aria","family":"Nouri","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kishan","family":"Patel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hardy","family":"Evans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Saleh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark R. N.","family":"Kotter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert F.","family":"Heary","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Tessitore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael G.","family":"Fehlings","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4965-3059","authenticated-orcid":false,"given":"Joseph S.","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,7,30]]},"reference":[{"issue":"21","key":"6084_CR1","doi-asserted-by":"publisher","first-page":"E798","DOI":"10.1097\/01.brs.0000239222.36505.46","volume":"31","author":"DD Samartzis","year":"2006","unstructured":"Samartzis DD et al (2006) Classification of congenitally fused cervical patterns in Klippel-Feil patients: epidemiology and role in the development of cervical spine-related symptoms. Spine (Phila Pa 1976) 31(21):E798\u2013E804","journal-title":"Spine (Phila Pa 1976)"},{"key":"6084_CR2","first-page":"223","volume":"25","author":"M Klippel","year":"1912","unstructured":"Klippel M, Feil A (1912) Un cas d\u2019absence des vertebres cervicales. Avec cage thoracique remontant jusqu\u2019a la base du crane (cage thoracique cervicale). Nouv Iconog Salpetriere 25:223\u2013250","journal-title":"Nouv Iconog Salpetriere"},{"key":"6084_CR3","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1016\/j.wneu.2017.01.048","volume":"100","author":"A Nouri","year":"2017","unstructured":"Nouri A et al (2017) Congenital cervical fusion as a risk factor for development of degenerative cervical myelopathy. World Neurosurg 100:531\u2013539","journal-title":"World Neurosurg"},{"key":"6084_CR4","first-page":"1255","volume":"92","author":"MW Brown","year":"1964","unstructured":"Brown MW, Templeton AW, Hodges FJ 3rd (1964) The incidence of acquired and congenital fusions in the cervical Spine. Am J Roentgenol Radium Ther Nucl Med 92:1255\u20131259","journal-title":"Am J Roentgenol Radium Ther Nucl Med"},{"issue":"4","key":"6084_CR5","doi-asserted-by":"publisher","first-page":"448","DOI":"10.1016\/j.jspd.2017.12.002","volume":"6","author":"J Gruber","year":"2018","unstructured":"Gruber J et al (2018) The Prevalence of Klippel-Feil Syndrome: a computed tomography-based analysis of 2917 patients. Spine Deform 6(4):448\u2013453","journal-title":"Spine Deform"},{"issue":"5","key":"6084_CR6","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1007\/BF00272022","volume":"1","author":"MG Nagib","year":"1985","unstructured":"Nagib MG, Maxwell RE, Chou SN (1985) Klippel-Feil syndrome in children: clinical features and management. Childs Nerv Syst 1(5):255\u2013263","journal-title":"Childs Nerv Syst"},{"key":"6084_CR7","doi-asserted-by":"publisher","first-page":"294","DOI":"10.1055\/s-0035-1546817","volume":"5","author":"A Nouri","year":"2015","unstructured":"Nouri A et al (2015) Prevalence of Klippel-Feil syndrome in a surgical series of patients with cervical spondylotic myelopathy: analysis of the prospective, multicentre AOSpine North America Study. Global Spine J 5:294\u2013299","journal-title":"Global Spine J"},{"issue":"5","key":"6084_CR8","doi-asserted-by":"publisher","first-page":"480","DOI":"10.1097\/00007632-198009000-00014","volume":"5","author":"RB Southwell","year":"1979","unstructured":"Southwell RB et al (1979) Klippel-Feil syndrome with cervical compression resulting from cervical subluxation in association with an omo-vertebral bone. Spine 5(5):480\u2013482","journal-title":"Spine"},{"issue":"18","key":"6084_CR9","doi-asserted-by":"publisher","first-page":"2110","DOI":"10.1097\/00007632-199409150-00020","volume":"19","author":"PD Pizzutillo","year":"1994","unstructured":"Pizzutillo PD et al (1994) Risk factors in Klippel-Feil syndrome. Spine (Phila Pa 1976) 19(18):2110\u20132116","journal-title":"Spine (Phila Pa 1976)"},{"issue":"1","key":"6084_CR10","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1186\/s13013-016-0075-x","volume":"11","author":"D Samartzis","year":"2016","unstructured":"Samartzis D et al (2016) \u201cClinical triad\u201d findings in pediatric Klippel-Feil patients. Scoli Spinal Disord 11(1):15","journal-title":"Scoli Spinal Disord"},{"issue":"18","key":"6084_CR11","doi-asserted-by":"publisher","first-page":"E512","DOI":"10.1097\/BRS.0b013e318133fcf8","volume":"32","author":"D Samartzis","year":"2007","unstructured":"Samartzis D et al (2007) Sprengel\u2019s deformity in Klippel-Feil syndrome. Spine 32(18):E512\u2013E516","journal-title":"Spine"},{"issue":"3","key":"6084_CR12","doi-asserted-by":"publisher","first-page":"463","DOI":"10.1016\/j.nec.2007.04.005","volume":"18","author":"P Klimo Jr","year":"2007","unstructured":"Klimo P Jr, Rao G, Brockmeyer D (2007) Congenital anomalies of the cervical spine. Neurosurg Clin N Am 18(3):463\u2013478","journal-title":"Neurosurg Clin N Am"},{"issue":"2","key":"6084_CR13","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1097\/01.brs.0000195347.35380.68","volume":"31","author":"FH Shen","year":"2006","unstructured":"Shen FH et al (2006) Radiographic assessment of segmental motion at the atlantoaxial junction in the Klippel-Feil patient. Spine (Phila Pa 1976) 31(2):171\u2013177","journal-title":"Spine (Phila Pa 1976)"},{"issue":"4","key":"6084_CR14","doi-asserted-by":"publisher","first-page":"519","DOI":"10.2106\/00004623-199904000-00009","volume":"81","author":"AS Hilibrand","year":"1999","unstructured":"Hilibrand AS et al (1999) Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis. J Bone Joint Surg Am 81(4):519\u2013528","journal-title":"J Bone Joint Surg Am"},{"issue":"23","key":"6084_CR15","doi-asserted-by":"publisher","first-page":"E1353","DOI":"10.1097\/BRS.0000000000000587","volume":"39","author":"X Xue","year":"2014","unstructured":"Xue X et al (2014) Klippel-Feil syndrome in congenital scoliosis. Spine (Phila Pa 1976) 39(23):E1353\u2013E1358","journal-title":"Spine (Phila Pa 1976)"},{"issue":"1\u20132","key":"6084_CR16","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1159\/000345329","volume":"4","author":"PF Giampietro","year":"2013","unstructured":"Giampietro PF et al (2013) Clinical, genetic and environmental factors associated with congenital vertebral malformations. Mol Syndromol 4(1\u20132):94\u2013105","journal-title":"Mol Syndromol"}],"container-title":["European Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-019-06084-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00586-019-06084-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-019-06084-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,24]],"date-time":"2022-09-24T21:01:09Z","timestamp":1664053269000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00586-019-06084-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,30]]},"references-count":16,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2019,10]]}},"alternative-id":["6084"],"URL":"https:\/\/doi.org\/10.1007\/s00586-019-06084-0","relation":{},"ISSN":["0940-6719","1432-0932"],"issn-type":[{"value":"0940-6719","type":"print"},{"value":"1432-0932","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,30]]},"assertion":[{"value":"3 January 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 April 2019","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 June 2019","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 July 2019","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}