Superior Perspective of the T4 or Fourth Thoracic Vertebra
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Upload date: May 17, 2025
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Superior Perspective of the T4 or Fourth Thoracic Vertebra

The T4 or fourth thoracic vertebra of a human male depicted from above, showcasing the superior costal demifacets situated near the posterior body edges.

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Description

Oriented in superior view, the fourth thoracic vertebra (T4) is presented with the vertebral body anterior and the vertebral arch sweeping posteriorly to frame a rounded vertebral foramen. Along the posterolateral margins of the body, the superior costal demifacets are positioned bilaterally where the head of the fourth rib approaches the vertebral column, while the pedicles lead laterally into the transverse processes and their transverse costal facets for the rib tubercles. Posterior elements include the laminae converging toward the base of the spinous process, and the superior articular facets facing posteromedially toward the adjacent T3 inferior facets. Clean bony landmarks. A superior perspective on T4 helps clarify the thoracic pattern of rib articulation and the way costovertebral joints sit adjacent to the spinal canal, a relationship that becomes clinically relevant in trauma and deformity. Rib head and tubercle injuries around the T3 to T5 level can disrupt both the costovertebral and costotransverse joints, and the proximity of pedicles to the vertebral foramen underpins why thoracic pedicle screw placement demands precise trajectory and awareness of medial breach risk. This view also supports teaching of typical thoracic vertebrae, contrasting their heart shaped bodies and costal facets with the cervical transverse foramina and the lumbar mammillary processes. Ideal for gross anatomy lab manuals, orthopedic and neurosurgical spine teaching files, and publisher layouts discussing thoracic kyphosis, rib mechanics, or posterior instrumentation at mid thoracic levels. It also fits radiology education when correlating osseous landmarks to axial CT at T4 and to rib articulations seen on bone windows. Anatomical accuracy verified by SciePro's Medical Advisory Board.

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