TY - JOUR TI - Differentiating between traumatic pathology and congenital variant: A case report of butterfly vertebra AU - Karargyris, O. AU - Lampropoulou-Adamidou, K. AU - Morassi, L.-G. AU - Stathopoulos, I.P. AU - Chatziioannou, S.N. AU - Pneumaticos, S.G. JO - CiOS Clinics in Orthopedic Surgery PY - 2015 VL - 7 TODO - 3 SP - 406-409 PB - Korean Orthopaedic Association SN - null TODO - 10.4055/cios.2015.7.3.406 TODO - analgesic agent, adult; Article; butterfly vertebra; case report; computer assisted tomography; diagnostic imaging; falling; female; human; image analysis; intervertebral disk hernia; low back pain; neurologic disease; physiotherapy; sciatica; spine radiography; vertebra malformation; abnormalities; low back pain; lumbar vertebra; pathology; x-ray computed tomography, Accidental Falls; Adult; Female; Humans; Low Back Pain; Lumbar Vertebrae; Tomography, X-Ray Computed TODO - Butterfly vertebra is a rare congenital malformation of the spine, which is usually reported in the literature as an isolated finding. We describe a 40-year-old woman that presented to our emergency department with back pain and sciatica. Initial radiological evaluation revealed an incidental finding of a L4 butterfly vertebra in the anteroposterior and lateral view radiographs. The patient presented with no neurological deficit. This rare congenital anomaly is usually asymptomatic, and awareness of its non-traumatic nature is critical in order to establish a correct diagnosis. Further evaluation of the patient is necessary to exclude pathologic fracture, infection, or associated vertebral anomalies and syndromes, such as Alagille, Jarcho-Levin, Crouzon, and Pfeiffer syndromes. Furthermore, in the emergency setting, awareness of this entity is needed so that a correct diagnosis can be established. © 2015 by The Korean Orthopaedic Association. ER -