Multimodality imaging in Bertolotti’s syndrome: an important cause of low back pain in young adults

Neelakantan, Sankar; Anandarajan, Rakesh; Shyam, Karthik; Philip, Babu

doi:10.1136/bcr-2016-217121

Cited by 8 publications

(3 citation statements)

References 6 publications

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“…Ferguson radiographs of the lumbosacral spine (AP radiograph with a 30° cranial angulation) presents with a higher sensitivity in detecting LSTV. Mid-sagittal T2-weighted MRI presents with 80% sensitivity and specificity for the diagnosis, with bone marrow edema as one of the most common findings [ 5 ]. CT scan is a complimentary imaging resource that helps defining bone structures, osteophytes and the state of the pseudoarticulation of the fifth transverse process [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Bertolotti’s syndrome: an underdiagnosed cause for lower back pain

Alonzo¹,

Cobar

Cahueque

et al. 2018

Journal of Surgical Case Reports

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Bertolotti’s syndrome refers to the presence of pain associated to the anatomical variant of sacralization of the last lumbar vertebra. It is often a factor that is not addressed in the evaluation and treatment of lower back pain. The presence of a lumbosacral transitional vertebra is a common finding among general population with a prevalence that ranges between 4 and 30%, however, this finding is rarely associated to the cause of lower back pain and thus, the prevalence of Bertolotti’s syndrome in general population is unknown doe to underdiagnosis. The sacralization of the fifth lumbar vertebra has been related to changes in the anatomy and biomechanics of the spine with no general agreement to its clinical significance, however Bertolotti’s syndrome should be considered as a differential diagnosis for lower back pain, therefore, its pathophysiology, epidemiology and treatment must be a topic of general knowledge to physicians that often treat this condition.

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Section: Discussionmentioning

confidence: 99%

Bertolotti’s syndrome: an underdiagnosed cause for lower back pain

Alonzo¹,

Cobar

Cahueque

et al. 2018

Journal of Surgical Case Reports

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“…General radiographs of the lumbosacral region demonstrate 76%-84% effectiveness in detecting LSTV. Ferguson radiographs of the lumbosacral region (AP radiographs with a 30° cranial angle) show higher sensitivity in detecting LSTV [28].…”

Section: Diagnosis 1 Simple Radiographmentioning

confidence: 99%

Surgical Options for Bertolotti Syndrome

Ahn,

Seo,

et al. 2024

J Minim Invasive Spine Surg Tech

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This article provides a comprehensive examination of Bertolotti syndrome (BS), a disorder characterized by back pain due to a lumbosacral transitional vertebra, to facilitate surgical decision-making by exploring various surgical options, including the innovative approach of endoscopic spine surgery. A review of existing literature and studies on BS published until December 2023 was undertaken, utilizing databases such as PubMed and Google Scholar to identify relevant information. The review offers an integrated overview of the essential knowledge of BS and a comprehensive range of surgical treatments. Symptomatic BS can manifest as pain originating from pseudoarticulation and the facet joints, discs, adjacent segments, and the L5 root, indicating a diverse distribution of pain sources. Furthermore, various surgical strategies are tailored to the specific origin of pain, including pseudoarticulation resection, transverse processectomy, decompression, nerve root decompression, fusion, and endoscopic spine surgery. For individuals with BS contemplating surgical solutions, performing a detailed assessment of symptoms and physical evaluations is imperative to accurately identify the origin of the pain. The choice of a surgical strategy must be meticulously customized according to the identified source of pain, guaranteeing a tailored and efficacious treatment for each patient.

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“…Different radiological modalities can be used to identify LSTV including X-ray, CT-scan and MRI 5 . For the purpose of enumeration X-ray lumbosacral spine (AP and Lateral view) and cervicodorsal spine AP/Lat view is done to mark C2 vertebra and then counting is done downwards to find whether LSTV is lumbarized S1 or sacralized L5.…”

Section: Introductionmentioning

confidence: 99%

Retrospective Data Review to Find the Association of Lumbosacral Transitional Vertebra and Degenerative Disc Disease in Young Patients

Gul¹,

Mehmood

Ikram³

2020

PAFMJ

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Objective: To find out the frequency of lumbar disc degeneration among the patients having lumbosacraltransitional vertebra between 20-40 years. Study Design: Retrospective cross sectional study. Place and Duration of Study: Radiology department POF Wah Cantt, from Jan 2018 to Dec 2019. Methodology: Six Hundred patients between 20-40 years having lumbosacral transitional vertebra and historyof low back pain >1 year were studied. X ray and MRI lumbar spine of these patients was studied retrospectivelyon PACS. Two hundred patients having history of traumatic or other non-traumatic etiologies, in addition toLumbosacral transitional vertebra were excluded. Four hundred patients with only lumbosacral transitionalvertebra were included. Data analysis was done by SPSS-22. Castellvi types of transitional vertebra was calculated among patients with degenerative lumbar disc. Results: One hundred and four (26.6%) were having degenerative disc disease while 296 (74.4%) patients werenot having degenerative disc disease. Patients having degenerative disc disease were between 24-40 years withthe mean age 29.96 ± 0.417 years. Among the patients having degenerative disc disease were 59 women and45 males but no statistical significance association was found between gender and degenerative disc disease with p-value = 0.55. Castellvi type III had significant association with degenerative disc disease, p-value = 0.006. Conclusion: Age related disc degeneration is commonly seen in middle age people but in younger age group in2nd and 3rd decade it is observed frequently in those patients having lumbosacral transitional vertebra especially in the setting of no other associated traumatic or non-traumatic etiology, which leads to early degenerative disc disease.

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Multimodality imaging in Bertolotti’s syndrome: an important cause of low back pain in young adults

Cited by 8 publications

References 6 publications

Bertolotti’s syndrome: an underdiagnosed cause for lower back pain

Bertolotti’s syndrome: an underdiagnosed cause for lower back pain

Surgical Options for Bertolotti Syndrome

Retrospective Data Review to Find the Association of Lumbosacral Transitional Vertebra and Degenerative Disc Disease in Young Patients

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