{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T06:04:46Z","timestamp":1784009086711,"version":"3.55.0"},"reference-count":28,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Sprengel\u2019s 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\u2013Feil syndrome. Multiple surgical techniques have been described aiming to correct Sprengel\u2019s deformities, with the Modified Woodward procedure being among the most widely utilized techniques. Bilateral Sprengel\u2019s 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\u2019s deformity associated with Klippel\u2013Feil 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\u2019s 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\u2019s deformity associated with Klippel\u2013Feil syndrome, characterized by a horseshoe-shaped fused omovertebral bone connecting both scapulae to the cervical spine. Simultaneous bilateral correction using a modified Woodward\u2019s 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.<\/jats:p>","DOI":"10.3390\/jcm15145502","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T05:32:01Z","timestamp":1784007121000},"page":"5502","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Unique Presentation of Bilateral Sprengel\u2019s Deformity with a Horseshoe Configuration of Connected Omovertebral Bony Bars"],"prefix":"10.3390","volume":"15","author":[{"given":"Abdulmonem","family":"Alsiddiky","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Research Chair of Spinal Deformities, College of Medicine, King Saud University, Riyadh 12372, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayfaa Saud","family":"Alshaalan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, College of Medicine, King Saud University, Riyadh 12372, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3326-9981","authenticated-orcid":false,"given":"Talal","family":"Alghadir","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud University, Riyadh 12372, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Razan Ali","family":"Alshatwi","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, College of Medicine, King Saud University, Riyadh 12372, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"55","DOI":"10.4103\/2156-7514.143407","article-title":"The rare sprengel deformity: Our experience with three cases","volume":"4","author":"Bindoudi","year":"2014","journal-title":"J. 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