Neck and back pain can be caused by abnormalities of the soft tissues, bone injuries or vertebral anomalies. Vertebral anomalies can occur individually or as part of a syndrome. Congenital torticollis The head is tilted at or shortly after birth on the side. The most common reason is a neck injury during childbirth. A torticollis develops in the first few days and weeks due to a hematoma, fibrosis and contracture of the sternocleidomastoid (SMC). A non painful tumor can be felt in the SMC, usually in the middle segment. Torticollis is a common cause of plagiocephaly (a flattened head side) and an asymmetric face (cervical dystonia). Other causes may spinal abnormalities such as Klippel-Feil syndrome (fusion of cervical vertebrae, short neck and low hairline, often with abnormalities of the urinary tract) or a atlanto fusion. CNS tumors, bulbar seizures and ocular disorders are common neurological causes, but rarely at birth before (spastic torticollis. Severe neurological failures can be the result. Fractures, dislocations or subluxations of the cervical vertebrae (especially C1 and C2) or abnormalities of the Dens are rare but very serious consequences. X-rays are important to exclude bony causes that require stabilization. If torticollis is a result of a birth trauma, a frequent passive stretching of the SMC is indicated (rotation and dorsiflexion of the head to the opposite side). injections of botulinum toxin in the SMC Congenital may be necessary for stubborn cases. vertebral defects are examples of this idiopathic scoliosis (idiopathic scoliosis) that rarely at birth prov IEGT, as well as isolated defects of the vertebrae (eg. B. Hemiwirbel, piece of cake – or butterfly vertebrae), which are often diagnosed at birth. Vertebral defects should be suspected if abnormalities in the posterior midline, the kidneys or the extremities are present. Some syndromes like VACTERL (Vertebral Anomalies, Anal atresia, Cardiac Malformations, Tracheoesophageal Fistula, Renal Anomalies and radial aplasia, Limb Anomalies) include vertebral malformations one with. Alagille syndrome manifests itself with butterfly vertebrae, jaundice due to hypoplastic bile ducts and congenital heart defects. Ovoid vertebrae occur with Mucopolysaccharidosis and several other storage diseases. With continued growth, a scoliosis due to spinal defects can deteriorate rapidly and must therefore be monitored closely. Corsets are necessary at the beginning and should be worn on the day of 18 hours. In case of heavy training the axis deviation in an operation has to be considered. As often malformations of the kidney occur an ultrasound and an intravenous Pyelografie (IVP) should be performed.