{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:18:03Z","timestamp":1787847483610,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>We present a report of two patients having the association of omovertebra, Sprengel's deformity of the shoulder and Klippel\u2013Feil abnormality with craniovertebral junctional instability. Our literature survey did not locate any report of such association. Significance of bone alterations is analyzed. Two young patients presented with neck pain, torticollis, webbed neck, and spastic quadriparesis. In both patients, the investigations revealed basilar invagination, Klippel\u2013Feil abnormality and Sprengel's deformity of the shoulder. Apart from these relatively common associations, both the patients had omovertebral bone that extended from the transverse process of C5 vertebra to scapula. Following atlantoaxial stabilization surgery, the patients rapidly recovered from all symptoms. Musculoskeletal abnormalities at the craniovertebral junction that include Klippel\u2013Feil abnormality, Sprengel's shoulder, and omovertebra are secondary alterations to primary atlantoaxial instability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jcvjs.jcvjs_7_21","type":"journal-article","created":{"date-parts":[[2021,3,3]],"date-time":"2021-03-03T09:28:56Z","timestamp":1614763736000},"page":"95-98","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["Report of two cases with omovertebral bone and Klippel\u2013Feil syndrome with craniovertebral junction instability"],"prefix":"10.4103","volume":"12","author":[{"given":"Abhidha","family":"Shah","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akshay","family":"Hawaldar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aditya","family":"Lunawat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saswat","family":"Dandpat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atul","family":"Goel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-17-20240904","doi-asserted-by":"crossref","first-page":"224","DOI":"10.3171\/2010.3.SPINE09665","article-title":"Omovertebral bone associated with Sprengel deformity and Klippel-Feil syndrome leading to cervical myelopathy","volume":"13","author":"F\u00fcllbier","year":"2010","journal-title":"J Neurosurg Spine"},{"key":"R2-17-20240904","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2106\/JBJS.CC.M.00056","article-title":"Surgical excision of an omovertebral bone in an adult with untreated sprengel deformity: A case report","volume":"3","author":"Gillespie","year":"2013","journal-title":"JBJS Case Connect"},{"key":"R3-17-20240904","first-page":"1","article-title":"Omovertebral bone causing traumatic compression of the cervical spinal cord and acute neurological deficits in a patient with Sprengel's deformity and Klippel-Feil syndrome: Case report","volume":"25","author":"Pompliano","year":"2020","journal-title":"J Neurosurg Spine"},{"key":"R4-17-20240904","doi-asserted-by":"crossref","first-page":"3","DOI":"10.4103\/0974-8237.135206","article-title":"Goel's classification of atlantoaxial \u201cfacetal\u201d dislocation","volume":"5","author":"Goel","year":"2014","journal-title":"J Craniovertebr Junction Spine"},{"key":"R5-17-20240904","doi-asserted-by":"crossref","first-page":"9","DOI":"10.3171\/2009.3.SPINE08927","article-title":"Vertical mobile and reducible atlantoaxial dislocation. Clinical article","volume":"11","author":"Goel","year":"2009","journal-title":"J Neurosurg Spine"},{"key":"R6-17-20240904","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1016\/j.wneu.2017.07.007","article-title":"Radiological evaluation of 510 cases of basilar invagination with evidence of atlantoaxial instability (Group A basilar invagination)","volume":"110","author":"Goel","year":"2018","journal-title":"World Neurosurg"},{"key":"R7-17-20240904","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/BF01400872","article-title":"Plate and screw fixation for atlanto-axial dislocation.(Technical report)","volume":"129","author":"Goel","year":"1994","journal-title":"Acta Neurochir (Wien"},{"key":"R8-17-20240904","doi-asserted-by":"crossref","first-page":"220","DOI":"10.3171\/2008.12.SPINE08499","article-title":"Reversal of longstanding musculoskeletal changes in basilar invagination after surgical decompression and stabilization","volume":"10","author":"Goel","year":"2009","journal-title":"J Neurosurg Spine"},{"key":"R10-17-20240904","doi-asserted-by":"crossref","first-page":"192","DOI":"10.2106\/00004623-199072020-00006","article-title":"Sprengel deformity","volume":"72","author":"Leibovic","year":"1990","journal-title":"J Bone Joint Surg Am"},{"key":"R11-17-20240904","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1177\/095952878306600111","article-title":"A second case of malformation of the left shoulder-girdle; removal of the abnormal portion of bone; with remarks on the probable nature of the deformity","volume":"66","author":"Willett","year":"1883","journal-title":"Med Chir Trans"},{"key":"R12-17-20240904","doi-asserted-by":"crossref","first-page":"147","DOI":"10.4103\/0028-3886.222853","article-title":"Atlantoaxial instability associated with pan cervical vertebral fusion: Report on management of 4 cases","volume":"66","author":"Shah","year":"2018","journal-title":"Neurol India"},{"key":"R13-17-20240904","doi-asserted-by":"crossref","first-page":"323","DOI":"10.14245\/ns.1836236.118","article-title":"Cervical fusion as a protective response to craniovertebral junction instability: A novel concept","volume":"15","author":"Goel","year":"2018","journal-title":"Neurospine"},{"key":"R14-17-20240904","doi-asserted-by":"crossref","first-page":"116","DOI":"10.3171\/2014.10.SPINE14176","article-title":"Is atlantoaxial instability the cause of Chiari malformation? Outcome analysis of 65 patients treated by atlantoaxial fixation","volume":"22","author":"Goel","year":"2015","journal-title":"J Neurosurg Spine"}],"container-title":["Journal of Craniovertebral Junction and Spine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jcvjs.JCVJS_7_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:19:45Z","timestamp":1787843985000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jcvjs.JCVJS_7_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/jcvjs.jcvjs_7_21","relation":{},"ISSN":["0974-8237"],"issn-type":[{"value":"0974-8237","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}