Unfused transverse process ossification center

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Low back pain

Patient Data

Age: 30 years
Gender: Female

Lumbosacral spine

ct

Unfused right transverse process of L1 vertebra.

Undisplaced fracture pars interarticularis of L5 (spondylolysis) with no associated spondylolisthesis.

Case Discussion

Unfused transverse process ossification center is a smooth well corticated and normally aligned lateral part of a vertebral process that failed to fuse to the proximal part of the transverse process. It is usually an asymptomatic incidental finding and must be carefully differentiated from transverse process fracture in setting of spinal trauma 1.

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