H-shaped vertebra

Case contributed by Varun Babu
Diagnosis certain

Presentation

Known patient of sickle cell anemia.

Patient Data

Age: 9 years
Gender: Male
x-ray

Right convexity dorsal scoliosis. Multiple dorsolumbar vertebrae show central end plate depressions giving the appearance of H shaped vertebrae. Normal posterior elements. Normal pre and paravertebral soft tissue planes. 

Case Discussion

Secondary to the veno occlusive crisis, the infarctions of vertebrae result in central end plate collapse giving the typical H appearance. 

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