Cargando…

Intraoperative 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 re...

Descripción completa

Detalles Bibliográficos
Autores principales: Babu, Harish, Lagman, Carlito, Kim, Terrence T., Grode, Marshall, Johnson, J. Patrick, Drazin, Doniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5629866/
https://www.ncbi.nlm.nih.gov/pubmed/29026672
http://dx.doi.org/10.4103/sni.sni_173_17
_version_ 1783269136275603456
author Babu, Harish
Lagman, Carlito
Kim, Terrence T.
Grode, Marshall
Johnson, J. Patrick
Drazin, Doniel
author_facet Babu, Harish
Lagman, Carlito
Kim, Terrence T.
Grode, Marshall
Johnson, J. Patrick
Drazin, Doniel
author_sort Babu, Harish
collection PubMed
description 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 DESCRIPTIONS: Two patients diagnosed with Bertolotti's syndrome who had undergone the above-mentioned procedure were identified. The patients were 17- and 38-years-old, and presented with severe, chronic low back pain that was resistant to conservative treatment. Imaging revealed lumbosacral transitional vertebrae at the level of L5-S1, which was consistent with Bertolotti's syndrome. Injections of the pseudoarticulations resulted in only temporary symptomatic relief. Thus, the patients subsequently underwent O-arm neuronavigational resection of the bony defects. Both patients experienced immediate pain resolution (documented on the postoperative notes) and remained asymptomatic 1 year later. CONCLUSION: Intraoperative three-dimensional imaging and navigation guidance facilitated the resection of anomalous transverse processes in two patients with Bertolotti's syndrome. Excellent outcomes were achieved in both patients.
format Online
Article
Text
id pubmed-5629866
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-56298662017-10-12 Intraoperative navigation-guided resection of anomalous transverse processes in patients with Bertolotti's syndrome Babu, Harish Lagman, Carlito Kim, Terrence T. Grode, Marshall Johnson, J. Patrick Drazin, Doniel Surg Neurol Int Spine: Technical Note 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 DESCRIPTIONS: Two patients diagnosed with Bertolotti's syndrome who had undergone the above-mentioned procedure were identified. The patients were 17- and 38-years-old, and presented with severe, chronic low back pain that was resistant to conservative treatment. Imaging revealed lumbosacral transitional vertebrae at the level of L5-S1, which was consistent with Bertolotti's syndrome. Injections of the pseudoarticulations resulted in only temporary symptomatic relief. Thus, the patients subsequently underwent O-arm neuronavigational resection of the bony defects. Both patients experienced immediate pain resolution (documented on the postoperative notes) and remained asymptomatic 1 year later. CONCLUSION: Intraoperative three-dimensional imaging and navigation guidance facilitated the resection of anomalous transverse processes in two patients with Bertolotti's syndrome. Excellent outcomes were achieved in both patients. Medknow Publications & Media Pvt Ltd 2017-09-26 /pmc/articles/PMC5629866/ /pubmed/29026672 http://dx.doi.org/10.4103/sni.sni_173_17 Text en Copyright: © 2017 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Spine: Technical Note
Babu, Harish
Lagman, Carlito
Kim, Terrence T.
Grode, Marshall
Johnson, J. Patrick
Drazin, Doniel
Intraoperative navigation-guided resection of anomalous transverse processes in patients with Bertolotti's syndrome
title Intraoperative navigation-guided resection of anomalous transverse processes in patients with Bertolotti's syndrome
title_full Intraoperative navigation-guided resection of anomalous transverse processes in patients with Bertolotti's syndrome
title_fullStr Intraoperative navigation-guided resection of anomalous transverse processes in patients with Bertolotti's syndrome
title_full_unstemmed Intraoperative navigation-guided resection of anomalous transverse processes in patients with Bertolotti's syndrome
title_short Intraoperative navigation-guided resection of anomalous transverse processes in patients with Bertolotti's syndrome
title_sort intraoperative navigation-guided resection of anomalous transverse processes in patients with bertolotti's syndrome
topic Spine: Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5629866/
https://www.ncbi.nlm.nih.gov/pubmed/29026672
http://dx.doi.org/10.4103/sni.sni_173_17
work_keys_str_mv AT babuharish intraoperativenavigationguidedresectionofanomaloustransverseprocessesinpatientswithbertolottissyndrome
AT lagmancarlito intraoperativenavigationguidedresectionofanomaloustransverseprocessesinpatientswithbertolottissyndrome
AT kimterrencet intraoperativenavigationguidedresectionofanomaloustransverseprocessesinpatientswithbertolottissyndrome
AT grodemarshall intraoperativenavigationguidedresectionofanomaloustransverseprocessesinpatientswithbertolottissyndrome
AT johnsonjpatrick intraoperativenavigationguidedresectionofanomaloustransverseprocessesinpatientswithbertolottissyndrome
AT drazindoniel intraoperativenavigationguidedresectionofanomaloustransverseprocessesinpatientswithbertolottissyndrome