Rare Case Report of Sprengel Deformity with Vertebral Fusion, Hemivertebra, Rib Fusion, and Spina Bifida Occulta

Sprengel deformity is a rare condition resulting from abnormal descent of the scapula during embryonic development. It is frequently misdiagnosed as scoliosis or overlooked when it occurs in conjunction with scoliosis. This deformity can be associated with several other conditions, including Klippel-Feil syndrome, omovertebra, spina bifida, rib anomalies, musculoskeletal dysfunctions, and tethered cord syndrome. Additionally, it may be linked to cardiac and renal anomalies, tracheoesophageal fistulas, anal atresia, absence of the pectoral muscles, and hand malformations. Our case of sprengel deformity with an omovertebral bar, scoliosis, hemivertebra, with concomitant fused vertebra, spina bifida occulta, fused and bifid ribs is an extremely rare combination. This further emphasizes the importance of a comprehensive evaluation for any patient with Sprengel shoulder to identify other potential anomalies. A thorough examination of all systems is essential.