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. 2021 Sep 1;11:17519. doi: 10.1038/s41598-021-95232-y

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© The Author(s) 2021

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 licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence 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 licence, visit http://creativecommons.org/licenses/by/4.0/.

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Post-operative 24 months CT demonstrated bilateral screw loosening at L4 in a 64 year-old male who underwent dynamic stabilization at L3–4 (black arrow: double halo sign), although all HU values of L4 pedicles were much higher than the mean HU values in our cohort. (L4 right pedicle HU including/excluding cortex bone: 350/276; left pedicle HU including/excluding cortex bone: 355/272; VB HU: 117).