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MSKMRI on Instagram: "📌Butterfly Vertebra: A Commonly Misdiagnosed Congenital Anomaly ✅ Definition and Pathogenesis Butterfly vertebra, also known as a sagittal cleft vertebra or anterior rachischisis, is a congenital vertebral anomaly caused by the failure of fusion of the lateral halves of the vertebral body due to the persistence of notochordal tissue. This results in a characteristic midline sagittal cleft, giving the vertebra a ”butterfly“ appearance on imaging. ✅ Plain Radiograph Widened
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