Child's Nervous System

, Volume 28, Issue 4, pp 605–608 | Cite as

Cervical ribs with neurological sequelae in children: a case series

  • R. Shane TubbsEmail author
  • Mitchel Muhleman
  • Joseph Miller
  • Mohammadali M. Shoja
  • Marios Loukas
  • John C. Wellons
  • W. Jerry Oakes
Original Paper



Cervical ribs may result in thoracic outlet syndrome. Neurological compromise in children with cervical ribs, however, is rare.

Patients and methods

We report our experience with cervical ribs in a pediatric population and review this specific literature.


In our experience with a pediatric neurosurgical population, symptomatic cervical ribs were often identified in patients with Chiari I malformation. Surgical resection of symptomatic cervical ribs in children appears to have good long-term results.


Based on our experience, symptomatic cervical ribs should not be considered pathology peculiar to the adult population. Although uncommon, children may present with symptomatic cervical ribs that may necessitate surgical intervention.


Neck Anomaly Thoracic outlet syndrome Neurosurgery Cervical rib 


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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • R. Shane Tubbs
    • 1
    Email author
  • Mitchel Muhleman
    • 2
  • Joseph Miller
    • 1
  • Mohammadali M. Shoja
    • 3
  • Marios Loukas
    • 2
  • John C. Wellons
    • 1
  • W. Jerry Oakes
    • 1
  1. 1.Section of Pediatric Neurosurgery Children’s HospitalBirminghamUSA
  2. 2.Department of Anatomical SciencesSt. George’s UniversitySt. George’sGrenada
  3. 3.Division of NeurosurgeryUniversity of Alabama at BirminghamBirminghamUSA

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