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Bone single-photon emission computed tomography and three-dimensional computed tomography in the diagnosis of low costal variation and pathologies.

Silov G, Erdoğan Z, Özdal A, Özaşlamacı A - Indian J Nucl Med (2015 Apr-Jun)

Bottom Line: In general, there are five lumbar vertebras in normal human subjects.But occasionally there are six.In such a situation, a radiologist need to discern between lumbarization of S1 (S1 vertebra becomes segmented and mimics L5) or due to hypoplastic 12(th) ribs, hence the T12 vertebra is wrongly assumed to be L1.

View Article: PubMed Central - PubMed

Affiliation: Department of Nuclear Medicine, Kayseri Training and Research Hospital, Kayseri, Turkey.

ABSTRACT
In general, there are five lumbar vertebras in normal human subjects. But occasionally there are six. In such a situation, a radiologist need to discern between lumbarization of S1 (S1 vertebra becomes segmented and mimics L5) or due to hypoplastic 12(th) ribs, hence the T12 vertebra is wrongly assumed to be L1. These interesting images serve a multimodality approach to right aplasia/left hypoplasia of 12(th) rib, injury of left 11(th) rib and subluxation of left 11(th) Costovertebral joint in a patient with lumbar back pain.

No MeSH data available.


Related in: MedlinePlus

(a) At first glance, there were six lumbar vertebrae on the anteroposterior radiography (b) There were only five lumbar vertebrae and right 12th rib aplasia and left 12th rib hypoplasia (arrow) on the thoracolumbar computed tomography
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Figure 1: (a) At first glance, there were six lumbar vertebrae on the anteroposterior radiography (b) There were only five lumbar vertebrae and right 12th rib aplasia and left 12th rib hypoplasia (arrow) on the thoracolumbar computed tomography

Mentions: A 37-year-old woman with left low back pain for 3 mount durations was admitted to the department of orthopedic surgery and traumatology. Patient was not described any major trauma. Her laboratory finding was compatible with iron deficiency anemia. Other serologic and hematologic results are within normal limits. On anteroposterior and lateral radiography at first glance, there was six lumbar vertebra [Figure 1a]. This distinction matters little to the health of the patient him/herself but can have a terrible effect if the surgeon decides to operate on him/her and there is a misconception of the level.[123] There are typically no anatomic complications using the anterior approach from beneath the costal margin. The posterior approach requires an incision at the level of the spinous process of the first lumbar vertebra to avoid entering the pleura.[456] On the thoracolumbar computed tomography (CT), there was only five lumbar vertebra and right 12th rib aplasia and left 12th rib hypoplasia [Figure 1b]. But there was no pathological finding to explain the pain.


Bone single-photon emission computed tomography and three-dimensional computed tomography in the diagnosis of low costal variation and pathologies.

Silov G, Erdoğan Z, Özdal A, Özaşlamacı A - Indian J Nucl Med (2015 Apr-Jun)

(a) At first glance, there were six lumbar vertebrae on the anteroposterior radiography (b) There were only five lumbar vertebrae and right 12th rib aplasia and left 12th rib hypoplasia (arrow) on the thoracolumbar computed tomography
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4379687&req=5

Figure 1: (a) At first glance, there were six lumbar vertebrae on the anteroposterior radiography (b) There were only five lumbar vertebrae and right 12th rib aplasia and left 12th rib hypoplasia (arrow) on the thoracolumbar computed tomography
Mentions: A 37-year-old woman with left low back pain for 3 mount durations was admitted to the department of orthopedic surgery and traumatology. Patient was not described any major trauma. Her laboratory finding was compatible with iron deficiency anemia. Other serologic and hematologic results are within normal limits. On anteroposterior and lateral radiography at first glance, there was six lumbar vertebra [Figure 1a]. This distinction matters little to the health of the patient him/herself but can have a terrible effect if the surgeon decides to operate on him/her and there is a misconception of the level.[123] There are typically no anatomic complications using the anterior approach from beneath the costal margin. The posterior approach requires an incision at the level of the spinous process of the first lumbar vertebra to avoid entering the pleura.[456] On the thoracolumbar computed tomography (CT), there was only five lumbar vertebra and right 12th rib aplasia and left 12th rib hypoplasia [Figure 1b]. But there was no pathological finding to explain the pain.

Bottom Line: In general, there are five lumbar vertebras in normal human subjects.But occasionally there are six.In such a situation, a radiologist need to discern between lumbarization of S1 (S1 vertebra becomes segmented and mimics L5) or due to hypoplastic 12(th) ribs, hence the T12 vertebra is wrongly assumed to be L1.

View Article: PubMed Central - PubMed

Affiliation: Department of Nuclear Medicine, Kayseri Training and Research Hospital, Kayseri, Turkey.

ABSTRACT
In general, there are five lumbar vertebras in normal human subjects. But occasionally there are six. In such a situation, a radiologist need to discern between lumbarization of S1 (S1 vertebra becomes segmented and mimics L5) or due to hypoplastic 12(th) ribs, hence the T12 vertebra is wrongly assumed to be L1. These interesting images serve a multimodality approach to right aplasia/left hypoplasia of 12(th) rib, injury of left 11(th) rib and subluxation of left 11(th) Costovertebral joint in a patient with lumbar back pain.

No MeSH data available.


Related in: MedlinePlus