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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
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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 |
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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 |
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