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It references the old show in which he'd perform and family guy just uses it as a gag and a way to take up time; yeah.
The Twitty gag was first used in 'Bill and Peter's Bogus Journey' and has also since been used in 'Peter's Daughter' and 'The Juice is Loose'. Conway Twitty is reported to be a favorite of Seth MacFarland's and he hasn't ruled out the possibility of more Twitty gags in the future.