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Fig. 3 | Journal of Orthopaedic Surgery and Research

Fig. 3

From: SPECT/CT bone scintigraphy to evaluate low back pain in young athletes: common and uncommon etiologies

Fig. 3

Lumbarization of the S1 vertebra with anomalous articulation of the left side of S1 to the remainder of the sacrum and with the left iliac bone in a 16-year-old female gymnast with left-sided low back pain. a Coronal fused SPECT/CT image shows intense uptake at the left S1–S2 pseudoarthrosis. b Coronal CT image shows lumbarization of S1 with articulation with S2 instead of fusion, with marginal sclerosis seen on the left side (arrow) likely due to degenerative changes

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