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Orthopaedics Miscellaneous 55cec251

Omovertebral bone is associated with?

A
Scoliosis
B
Hemivertebra
C
Springel's deformity
D
Cervical rib
High-Yield Explanation
Ans. C. Springel's deformity. (Ref. Bailey and Love 25th/pg. 486; Fig. 34.2)Klippel-Feil Syndrome# Triad- nshort necks, alow hairlines, and ^Restriction of neck movements due to cervical vertebral fusion.# Other features:# Congenital genitourinary tract, auditory system, spinal cord, CVS and other MSK anomalies are associated.# Medial border of scapula, making the scapula equilateral triangle in shape# Springel anomaly (congenital elevation of scapula with inferior poles pointing outwards/laterally away from each other associated with omovertebral bony bar tht joins fropm cerical vetabrae to scapular spine)# Scoliosis and torticolis# Renal anomalies include duplication, aplasia, horseshoe kidney.# Rx of Klippel-Feil syndrome (Congenital fusion of the any 2 of 7cervical vertebrae): The management is usually for cosmetic rather than functional reasons, especially in unilateral cases. Excision of the omovertebral body or superior angle has a satisfactory cosmetic effect. When functional improvement is the primary goal, complex reconstructive procedures are required.

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