Four lumbar type vertebrae

Case contributed by Egidio Cespedes
Diagnosis certain

Presentation

Back lumbar pain

Patient Data

Age: 45 years
Gender: Female
ct

As an anatomical variation, the presence of 4 lumbar vertebral bodies is identified.

Various degenerative changes in the dorsal and lumbar spine

Vertebral numbering

Diagram

As an anatomical variation, the presence of 4 lumbar vertebral bodies is identified.

Case Discussion

Small ribs can be confused with the transverse processes in the last vertebral bodies. The key in the case was to have a chest study that allowed the identification of D1 by the presence of the first ribs.
The ribs of D12 are small and short, but they are jointed.
There is no transition vertebra.

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