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anatomical anatomy are body bone changes clinical column configuration convex curve deformity degenerative dextroconvex dextroscoliosis diagnosis disease examination health illness image imaging intervertebral investigation lateral lordosis lower lumbar lumbosacral medical mild normal pain part pathologic projection projectional radiation radiograph radiographic radiography ray region right sacrum scoliosis spaces spine technique test thoracolumbar transition unaffected vertebra vertebrae vertebral view