Bertolotti's syndrome: A commonly missed cause of back pain in young patients.
نویسندگان
چکیده
Bertolotti's syndrome must be considered as a differential diagnosis for lower back pain in young people. Treatment, whether conservative or operative, is still debatable. In this paper, we report a case of a 20-year-old girl presenting with lower back pain for 8 years. We administered injection with local anaesthetic and steroid injections within the pseudo-articulation; however, the pain was relieved for 3 weeks. Surgical excision of the pseudo-articulation successfully treated her back pain and the sciatica.
منابع مشابه
Bertolotti's syndrome. A cause of back pain in young people.
Bertolotti's syndrome is characterised by anomalous enlargement of the transverse process(es) of the most caudal lumbar vertebra which may articulate or fuse with the sacrum or ilium and cause isolated L4/5 disc disease. We analysed the elective MR scans of the lumbosacral spine of 769 consecutive patients with low back pain taken between July 2003 and November 2004. Of these 568 showed disc de...
متن کاملTransitional lumbosacral vertebrae and low back pain: diagnostic pitfalls and management of Bertolotti's syndrome.
OBJECTIVE Bertolotti's syndrome is a spine disorder characterized by the occurrence of a congenital lumbar transverse mega-apophysis in a transitional vertebral body that usually articulates with the sacrum or the iliac bone. It has been considered a possible cause of low back pain. METHOD We analyzed the cases of Bertolotti's syndrome that failed clinical treatment and reviewed the literatur...
متن کاملIntraoperative navigation-guided resection of anomalous transverse processes in patients with Bertolotti's syndrome
BACKGROUND Bertolotti's syndrome is characterized by enlargement of the transverse process at the most caudal lumbar vertebra with a pseudoarticulation between the transverse process and sacral ala. Here, we describe the use of intraoperative three-dimensional image-guided navigation in the resection of anomalous transverse processes in two patients with Bertolotti's syndrome. CASE DESCRIPTIO...
متن کاملLumbosacral transitional vertebra causing Bertolotti’s syndrome: a case report and review of the literature
INTRODUCTION Lumbosacral transitional vertebra is an anatomical variation of the fifth lumbar vertebra in which an enlarged transverse process can form a joint or fusion with the sacrum or ilium. The association of that variant with low back pain and the change in the biomechanical properties of the lumbar spine is called Bertolotti's syndrome. CASE PRESENTATION We report a case of a 40-year-...
متن کاملMinimally Invasive Microendoscopic Resection of the Transverse Process for Treatment of Low Back Pain with Bertolotti's Syndrome
Bertolotti's syndrome is characterized by anomalous enlargement of the transverse process of the most caudal lumbar segment, causing chronic and persistent low back pain or sciatica. We describe the case of a 45-year-old woman who presented with left sciatic pain and low back pain due to a recurrent lumbar disc herniation at L4-5 with Bertolotti's syndrome. Selective L5 nerve root block and loc...
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ورودعنوان ژورنال:
- Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia
دوره 10 2 شماره
صفحات -
تاریخ انتشار 2015