Accentuated lumbar lordosis on clinical assessment. Pelvic x ray to assess for skeletal dysplasia.
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Bilateral, symmetric coxa vara. Poor ossification of the pubic bodies and rami producing a widely spaced pubic symphysis.
The pelvic x ray findings are characteristic of cleidocranial dysostosis. The patient subsequently underwent bilateral valgising osteotomies to address the coxa vara.