Background: Sprengel’s deformity is the most common congenital anomaly of the scapula and is frequently associated with the presence of omovertebral bars and cervical spine anomalies such as Klippel–Feil syndrome. Multiple surgical techniques have been described aiming to correct Sprengel’s deformities, with the Modified Woodward procedure being among the most widely utilized techniques. Bilateral Sprengel’s deformities are relatively rare; when present, surgical correction is usually performed in a staged manner. Case presentation: We report a rare case of a three-year-old female with bilateral Sprengel’s deformity associated with Klippel–Feil syndrome, distinguished by a unique horseshoe-shaped fused omovertebral bony bars connecting both scapulae to the cervical spine. The patient underwent simultaneous bilateral Modified Woodward’s procedure with resection of the fused omovertebral bony bars and anchoring both scapulae to the relevant vertebrae. Postoperatively, the patient demonstrated improved shoulder symmetry and full active range of motion at two months of follow-up, with no neurological complications. Conclusions: This case reports a previously unreported anatomical variant of bilateral Sprengel’s deformity associated with Klippel–Feil syndrome, characterized by a horseshoe-shaped fused omovertebral bone connecting both scapulae to the cervical spine. Simultaneous bilateral correction using a modified Woodward’s procedure achieved favorable cosmetic and functional outcomes, supporting its feasibility in selected pediatric patients. Thorough preoperative imaging remains critical for identifying complex anatomical variations and optimizing surgical outcomes.
Alsiddiky et al. (Tue,) studied this question.
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