Prevalence of lumbosacral transitional vertebra among 4816 consecutive patients with low back pain: A computed tomography, magnetic resonance imaging, and plain radiographic study with novel classification schema

Byvaltsev, V.A.; Kalinin, A.A.; Shepelev, ValeryV; Pestryakov, YuriiYa; Aliyev, MaratA; Hozeev, DmitriyV; Biryuchkov, MikhailY; Kundubayev, RustemA; Riew, KDaniel

doi:10.4103/jcvjs.jcvjs_149_22

Cited by 5 publications

(1 citation statement)

References 28 publications

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“…Lumbosacral transitional vertebra (LSTV) is a common congenital variant of the lumbosacral junction, with its reported prevalence ranging from 8.1% to 36%. LTSV is characterized by either lumbarization of the cranial sacral vertebrae or sacralization of the caudal lumbar vertebrae, accompanied by transverse process hyperplasia ( 1 - 4 ). The presence of LSTV may accelerate the degeneration of the adjacent vertebral appendage, facet joints, and discs, leading to persistent low back pain ( 5 , 6 ).…”

Section: Introductionmentioning

confidence: 99%

Effect of lumbosacral transitional vertebra on developmental alterations of the hip: a quantitative investigation of the lumbo-pelvic-hip complex via whole-body computed tomography

Luo,

Tang,

Zhou

et al. 2024

Quant Imaging Med Surg

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Background Lumbosacral transitional vertebra (LSTV) is a common spinal variant, with the reported prevalence varying from 8.1% to 36%. LSTV has been shown to alter the lumbo-pelvic parameters and reduce the benefits of total hip arthroplasty, but the specific effects of LSTV on hip development remain unclear. The aim of this study was thus to investigate the impact of LSTV on developmental alterations of the hip. Methods A total of 310 individuals were categorized into three groups according to whole-body computed tomography (CT) imaging: a group with sacralization of 23 presacral vertebrae (PSV) (n=102), a group with lumbarization of 25 PSV (n=108), and a normal control group with 24 PSV (n=100). Quantitative parameters of the lumbo-pelvic-hip complex (LPHC) including lumbar lordosis (LL), pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), axial and sagittal acetabular anteversion angle (AAA), center-edge (CE) angle, Sharp angle, and femoral neck-shaft angle (FNSA) were measured and analyzed. Statistical analyses were used to compare the differences of these quantitative parameters among the three groups and to assess the relationship between hip and lumbar-pelvic parameters. Results Significant differences between each pair of three groups and the LSTV subgroups were only found in the sagittal AAA (left side: P=0.008; right side: P<0.001), with no differences found for the other parameters. Compared to the normal group (24 PSV), both the 23 PSV and 25 PSV groups exhibited increased values in the sagittal AAA, especially in the right side of the 23 PSV group. Only the sagittal AAA showed low-to-moderate positive correlations with pelvic parameters of PI (r=0.195–0.429; P=0.001–0.08) and PT (r=0.239–0.605; P=0.001–0.03). Conclusions Variations of LSTV are correlated with the hip anatomical development via LPHC transmission and may potentially reduce the sagittal acetabular coverage, particularly in the 23 PSV subtype on the right side.

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Section: Introductionmentioning

confidence: 99%

Effect of lumbosacral transitional vertebra on developmental alterations of the hip: a quantitative investigation of the lumbo-pelvic-hip complex via whole-body computed tomography

Luo,

Tang,

Zhou

et al. 2024

Quant Imaging Med Surg

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Correction of a congenital kyphoscoliosis associated with diastematomyelia

Abdaliyev,

Yestay,

Baitov

2024

Journal of Surgical Case Reports

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Congenital scoliosis is one of the most common deformities of the spine in children. Intraspinal anomalies are always accompanied with congenital scoliosis. Diastematomyelia is one of the most common intraspinal pathologies in congenital scoliosis. To date, there is no standard method for correcting the congenital spinal deformity associated with diastematomyelia. We present a clinical case of simultaneous correction of congenital scoliosis by an internal corrector with excision of diastematomyelia. The patient tolerated the surgery well without any complications. She was discharged home with improved symptoms without need for additional therapy. The patient’s guardians consented to the procedure and to the publication of her image.

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Comparative Analysis of the Results of Microdiscectomy and Minimally Invasive Transforaminal Lumbar Interbody Fusion in the Treatment of Adjacent-Level Intervertebral Disc Herniations With Lumbosacral Transitional Vertebra in Elderly Patients

Бывальцев,

Калинин,

Хозеев

et al. 2024

Успехи Геронтологии

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Цель исследования — сравнительный анализ эффективности использования микрохирургической дискэктомии и минимально инвазивного трансфораминального спондилодеза при лечении грыж межпозвонковых дисков смежного уровня с аномалией пояснично-крестцового перехода позвоночника у пациентов старшей возрастной группы. В исследование были включены 80 пациентов пожилого возраста (старше 60 лет), выделено две группы: 1-я — пациенты (n=39), которым выполняли микрохирургическую дискэктомию; 2-я — пациенты (n=41), прооперированные с использованием минимально инвазивного трансфораминального межтелового спондилодеза, чрескожной транспедикулярной стабилизации (MI-TLIF). Для сравнительного анализа использовали гендерные характеристики (пол, возраст), конституциональные особенности (ИМТ), степень физического статуса по ASA, интраоперационные параметры вмешательств и специфичность послеоперационного ведения пациентов, клинические данные, наличие осложнений. Оценку отдаленных исходов проводили в минимальном катамнезе 3 лет. В результате установлено, что использование MI-TLIF позволяет достичь лучших отдаленных клинических исходов, меньшего числа серьезных осложнений в сравнении с методикой микрохирургической дискэктомии при лечении грыж межпозвонковых дисков смежного уровня с аномалией пояснично-крестцового перехода позвоночника у пациентов старшей возрастной группы. The purpose of the study was a comparative analysis the effectiveness of microsurgical discectomy and minimally invasive transforaminal lumbar interbody fusion in the treatment of disk herniation adjacent to the anomaly of the lumbosacral junction segment in elderly patients. The study included 80 elderly patients (over 60 years old), divided into two groups: the 1st — (n=39) who underwent microsurgical discectomy; the 2nd — patients (n=41) operated on using minimally invasive transforaminal interbody fusion and percutaneous transpedicular stabilization (MI-TLIF). For the comparative analysis, we used gender characteristics (gender, age), constitutional characteristics (BMI), degree of physical status according to ASA, intraoperative parameters of interventions and the specificity of postoperative patient management, clinical data, and the presence of complications. Long-term outcomes were assessed at a minimum follow-up of 3 years. As a result, it was found that the use of MI-TLIF allows achieving better long-term clinical outcomes, fewer major complications in comparison with the microsurgical discectomy technique in the treatment of disc herniation adjacent to the anomaly of the lumbosacral junction segment in elderly patients.

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Prevalence of lumbosacral transitional vertebra among 4816 consecutive patients with low back pain: A computed tomography, magnetic resonance imaging, and plain radiographic study with novel classification schema

Cited by 5 publications

References 28 publications

Effect of lumbosacral transitional vertebra on developmental alterations of the hip: a quantitative investigation of the lumbo-pelvic-hip complex via whole-body computed tomography

Effect of lumbosacral transitional vertebra on developmental alterations of the hip: a quantitative investigation of the lumbo-pelvic-hip complex via whole-body computed tomography

Correction of a congenital kyphoscoliosis associated with diastematomyelia

Comparative Analysis of the Results of Microdiscectomy and Minimally Invasive Transforaminal Lumbar Interbody Fusion in the Treatment of Adjacent-Level Intervertebral Disc Herniations With Lumbosacral Transitional Vertebra in Elderly Patients

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