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Recognition of this structural artefact prevented unnecessary interventions. The case underscores the importance of correlating DXA scan results with clinical context and anatomic variations of bone structure, and of direct image review by the interpreting clinician. Understanding the technical principles and limitations of DXA, including artefact recognition, is essential to avoid misdiagnosis.<\/jats:p>","DOI":"10.1136\/bcr-2026-272320","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T14:21:14Z","timestamp":1780410074000},"page":"e272320","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Pseudo-osteoporosis on bone densitometry due to congenital spinal dysraphism"],"prefix":"10.1136","volume":"19","author":[{"given":"Kristy","family":"Wang","sequence":"first","affiliation":[{"name":"Medicine, The University of British Columbia Faculty of Medicine, Vancouver, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Kline","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Department of Medicine, University of Calgary Cumming School of Medicine, Calgary, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"key":"2026060207000894000_19.6.e272320.1","unstructured":"Dual-energy x-ray absorptiometry market size & forecast [2033]. 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