Question:easy

Block vertebrae are seen in which of the following conditions?

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Think of the syndrome with a short neck and congenitally fused cervical vertebrae.
Updated On: Jun 24, 2026
  • Paget's disease
  • Leukemia
  • Tuberculosis
  • Klippel-Feil syndrome
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The Correct Option is D

Solution and Explanation

Step 1: The question targets a developmental defect of segmentation. When the embryonic somites fail to divide, neighbouring vertebral bodies stay joined as one block, which is what radiologists call a block vertebra.

Step 2: Among the listed options, the disease defined by congenital fusion of several cervical vertebrae is Klippel-Feil syndrome. Its clinical picture of a webbed short neck with limited head turning directly points to vertebral non-segmentation.

Step 3: This anomaly often runs together with hemivertebrae, posterior arch fusion, and the VACTERL spectrum of malformations, reinforcing its congenital origin.

Step 4: Ruling out the rest: Pott's disease (TB) erodes the disc and bodies leading to acquired collapse, Paget's disease thickens the vertebral rim into a picture-frame look, and leukemia infiltrates marrow. None of these create a true congenital block vertebra.

\[\boxed{\text{Klippel-Feil syndrome}}\]
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