Scapular osteotomy followed by the procedure of Wilkinson & Campbell (1980) was performed in four cases of Sprengel's deformity. Three cases were female and one case was male. All cases were assosiated with skeletal anomalies including spina bifida occulta, scoliosis, synostosis of the upper ribs, funnel chest, etc. Three patients of our cases had omovertebral bones, and all cases had fibrous bands in the rhomboideus muscles, etc. The operations were performed at the age of four to six years old. Posterior fusion of vertebrae was added for a case with the scoliosis of the upper thoracic vertebrae. Post-operative follow-up periods were from four months to six years. All patients were improved cosmetically and functionally by this method.
