Abstract:La presencia de megaapófisis en «vértebras de transición lumbosacra» cuando se asocian con dolor crónico de espalda baja componen el síndrome de Bertolotti, el cual debe considerarse en pacientes adultos jóvenes. Una vértebra transicional modifica la anatomía y la biomecánica normal de la columna vertebral, y causa alteraciones en distintos niveles, principalmente facetario, sacroilíaco o discal.
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