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The CVA is an anatomic concept of the relationship of the 12th rib to the transverse processes of the lumbar vertebrae. [1] There is one CVA on each side of the spine. [2] The lateral part of the CVA is formed by the lower border of the 12th rib, and the medial part of the CVA is formed by the transverse processes of the lumbar vertebrae. [1]
The lumbar vertebrae are located between the thoracic vertebrae and pelvis. They form the lower part of the back in humans, and the tail end of the back in quadrupeds. In humans, there are five lumbar vertebrae. The term is used to describe the anatomy of humans and quadrupeds, such as horses, pigs, or cattle.
The transverse process of a lumbar vertebra is also sometimes called the costal [9] [10] or costiform process [11] because it corresponds to a rudimentary rib (costa) which, as opposed to the thorax, is not developed in the lumbar region.
A costal facet is a site of connection between a rib and a vertebra. The costal facets are located on the vertebrae that the rib articulates with. They are the superior costal facet, the inferior costal facet, and the transverse costal facet. [1] Rib 1 only articulates with a transverse costal facet.
The costovertebral angle (Latin: arcus costovertebralis) is the acute angle formed on either side of the human back between the twelfth rib and the vertebral column. [ 1 ] The kidney lies directly below this area, so is the place where, with percussion ( Latin : sucussio renalis ), pain is elicited when the person has kidney inflammation .
Bertolotti's syndrome is characterized by sacralization of the lowest lumbar vertebral body and lumbarization of the uppermost sacral segment. It involves a total or partial unilateral or bilateral fusion of the transverse process of the lowest lumbar vertebra to the sacrum, leading to the formation of a transitional 5th lumbar vertebra.
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Iliocostal friction syndrome most commonly occurs bilaterally as a result of spinal osteoporosis. [2] Osteoporosis is a condition in which the bone density and quality deteriorates, resulting in an increased risk for fractures. More than 2 million fractures occur annually in the United States due to osteoporosis. [9]