A 3D anisotropic micropolar continuum model of vertebral trabecular bone is presently developed accounting for the influence of microstructure-related scale effects on the macroscopic effective properties. Vertebral trabecular bone is modeled as a cellular material with an idealized periodic structure made of open 3D cells. The micromechanical approach relies on the discrete homogenization technique considering lattice microrotations as additional degrees of freedom at the microscale. The effective elastic properties of 3D lattices made of articulated beams taking into account axial, transverse shearing, flexural, and torsional deformations of the cell struts are derived as closed form expressions of the geometrical and mechanical microparameters. The scaling laws of the effective moduli versus density are determined in situations of low and high effective densities to assess the impact of the transverse shear deformation. The classical and micropolar effective moduli and the internal flexural and torsional lengths are identified versus the same microparameters. A finite element model of the local architecture of the trabeculae gives values of the effective moduli that are in satisfactory agreement with the homogenized moduli.