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. 2019 Sep 16;9:13323. doi: 10.1038/s41598-019-49712-x

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© The Author(s) 2019

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

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Spine DXA examples. (A) Spine DXA from patients without lumbar spine involvement. (B) Spine DXA from patient with osteophytes in L2 and L3 responsible for increase of spine mineral density on spine DXA. (C,D) DXA from patients with ankylosed spine, source of misinterpretation for DXA spine results.