<prompt> Rugger Jersey Spine is seen in -FluorosisAchondroplasiaRenal osteodystrophyMarfans syndrome  <response>: Renal abnormalities usually precede the bone changes by several years. Children are more severely affected than adults: they are usually stunted, pasty-faced and have marked rachitic deformities associated with myopathy. Xrays show widened and irregular epiphyseal plates. In older children with longstanding disease there may be displacement of the epiphyses epiphyseolysis. Osteosclerosis is seen mainly in the axial skeleton and is more common in young patients: it may produce a rugger jersey appearance in lateral x-rays of the spine, due to alternating bands of increased and decreased bone density IMAGE SHOWS RUGGER JERSEY SPINE IN RENAL OSTEODYSTROPHY REF:Apley;s system of ohopaedics- 9th edn- pg no 142. 