An Unusual Case Report of Bertolotti’s Syndrome: Extraforaminal Stenosis and L5 Unilateral Root Compression (Castellvi Type III an LSTV)

INTRODUCTION: Castellvi Type III lumbosacral transitional vertebrae (LSTV) is an unusual case of Bertolotti’s syndrome (BS) due to extraforaminal stenosis, especially manifesting in elderly patients. CASE REPORT: We report a case of BS in a 62 years old Greek female. The signs of the clinical examin...

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Autores principales: Kapetanakis, Stylianos, Chaniotakis, Constantinos, Paraskevopoulos, Constantinos, Pavlidis, Pavlos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5635197/
https://www.ncbi.nlm.nih.gov/pubmed/29051870
http://dx.doi.org/10.13107/jocr.2250-0685.782
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author Kapetanakis, Stylianos
Chaniotakis, Constantinos
Paraskevopoulos, Constantinos
Pavlidis, Pavlos
author_facet Kapetanakis, Stylianos
Chaniotakis, Constantinos
Paraskevopoulos, Constantinos
Pavlidis, Pavlos
author_sort Kapetanakis, Stylianos
collection PubMed
description INTRODUCTION: Castellvi Type III lumbosacral transitional vertebrae (LSTV) is an unusual case of Bertolotti’s syndrome (BS) due to extraforaminal stenosis, especially manifesting in elderly patients. CASE REPORT: We report a case of BS in a 62 years old Greek female. The signs of the clinical examination are low back pain, sciatica, hypoesthesia, and pain to the contribution of L5 nerve. Imaging techniques revealed an LSTV Type III a (complete sacralization between LSTV and sacrum). CONCLUSION: Despite the fact that LSTV is a congenital lesion, the clinical manifestation of BS may present in the elderly population. The accumulative effect of the gradual degeneration of intervertebral foramen (stenosis) may lead to the compression of extraforaminal portion of the nerve root.
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spelling pubmed-56351972017-10-19 An Unusual Case Report of Bertolotti’s Syndrome: Extraforaminal Stenosis and L5 Unilateral Root Compression (Castellvi Type III an LSTV) Kapetanakis, Stylianos Chaniotakis, Constantinos Paraskevopoulos, Constantinos Pavlidis, Pavlos J Orthop Case Rep Case Report INTRODUCTION: Castellvi Type III lumbosacral transitional vertebrae (LSTV) is an unusual case of Bertolotti’s syndrome (BS) due to extraforaminal stenosis, especially manifesting in elderly patients. CASE REPORT: We report a case of BS in a 62 years old Greek female. The signs of the clinical examination are low back pain, sciatica, hypoesthesia, and pain to the contribution of L5 nerve. Imaging techniques revealed an LSTV Type III a (complete sacralization between LSTV and sacrum). CONCLUSION: Despite the fact that LSTV is a congenital lesion, the clinical manifestation of BS may present in the elderly population. The accumulative effect of the gradual degeneration of intervertebral foramen (stenosis) may lead to the compression of extraforaminal portion of the nerve root. Indian Orthopaedic Research Group 2017 /pmc/articles/PMC5635197/ /pubmed/29051870 http://dx.doi.org/10.13107/jocr.2250-0685.782 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kapetanakis, Stylianos
Chaniotakis, Constantinos
Paraskevopoulos, Constantinos
Pavlidis, Pavlos
An Unusual Case Report of Bertolotti’s Syndrome: Extraforaminal Stenosis and L5 Unilateral Root Compression (Castellvi Type III an LSTV)
title An Unusual Case Report of Bertolotti’s Syndrome: Extraforaminal Stenosis and L5 Unilateral Root Compression (Castellvi Type III an LSTV)
title_full An Unusual Case Report of Bertolotti’s Syndrome: Extraforaminal Stenosis and L5 Unilateral Root Compression (Castellvi Type III an LSTV)
title_fullStr An Unusual Case Report of Bertolotti’s Syndrome: Extraforaminal Stenosis and L5 Unilateral Root Compression (Castellvi Type III an LSTV)
title_full_unstemmed An Unusual Case Report of Bertolotti’s Syndrome: Extraforaminal Stenosis and L5 Unilateral Root Compression (Castellvi Type III an LSTV)
title_short An Unusual Case Report of Bertolotti’s Syndrome: Extraforaminal Stenosis and L5 Unilateral Root Compression (Castellvi Type III an LSTV)
title_sort unusual case report of bertolotti’s syndrome: extraforaminal stenosis and l5 unilateral root compression (castellvi type iii an lstv)
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5635197/
https://www.ncbi.nlm.nih.gov/pubmed/29051870
http://dx.doi.org/10.13107/jocr.2250-0685.782
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