“…Developmental anomalies of the cervical vertebrae may accompany congenital syndromes like Klippel-Feil syndrome, Down syndrome, fibrodysplasia ossificans progressive or Rubinstein-Taybi syndrome 7,8 . In addition to developmental abnormalities, acquired diseases like ankylosing spondylitis, psoriatic spondylitis, diffuse idiopathic skeletal hyperostosis, ossification of the posterior longitudinal ligament, sternoclavicular hyperostosis, juvenile chronic arthritis and acromegaly, and diseases causing hyperostosis or ossification of the cervical spine should be considered for differential diagnosis 9 . Hypertrophy of the spinous process of the cervical vertebrae may be a part of a syndrome but may occur as an isolated abnormality.…”