skeleton
• 33% with 1-2 fused sternebrae
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• 48% develop an extensive rib on the 7th cervical vertebra (C7), of these 20% are long enough to fuse to the costal cartilage of the T1 rib
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• extensive ribs on C7 in 48% of homozygotes
• processus spinus normally associated with C2 is also found on C3 in 71% of homozygotes
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• rarely, asymetrical ossification
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