Lumbar 4 vertebral body hyperplasia becoming pointed may be lumbar 4 vertebral body osteophytes. Lumbar vertebral osteophytes are due to degenerative lesions of the vertebrae, intervertebral discs and posterior convex joints, mostly occurring in the lumbar vertebrae 3-4 joints. It is formed by the body’s self-protection and self-repair. Vertebral body hyperplasia and sharpening occurs as a result of degenerative changes in the intervertebral discs, dehydration, resulting in narrowing of the intervertebral disc space, reduced intervertebral stability, wear and tear of the cartilage at the margins and intervertebral joints, and abnormal bony growths. Localized inflammation, trauma and joint instability can induce osteophytes. If the diagnosis of lumbar 4 vertebral body hyperplasia becomes pointed, it is recommended to go to the hospital in time, under the guidance of the doctor for standardized treatment, in order to reduce the adverse effects.