Cargando…

Surgical Resection of Bertolotti Syndrome

Background: Bertolotti syndrome is the association of lumbosacral transitional vertebrae and low back pain or sciatica. Lumbosacral transitional vertebrae are vertebrae with large transverse processes that (1) articulate or fuse with the sacrum or ilium and (2) have a caudal disc space. Bertolotti s...

Descripción completa

Detalles Bibliográficos
Autores principales: Sumarriva, Gonzalo, Cook, Brandon, Celestre, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Academic Division of Ochsner Clinic Foundation 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8929233/
https://www.ncbi.nlm.nih.gov/pubmed/35355636
http://dx.doi.org/10.31486/toj.21.0012
_version_ 1784670817558200320
author Sumarriva, Gonzalo
Cook, Brandon
Celestre, Paul
author_facet Sumarriva, Gonzalo
Cook, Brandon
Celestre, Paul
author_sort Sumarriva, Gonzalo
collection PubMed
description Background: Bertolotti syndrome is the association of lumbosacral transitional vertebrae and low back pain or sciatica. Lumbosacral transitional vertebrae are vertebrae with large transverse processes that (1) articulate or fuse with the sacrum or ilium and (2) have a caudal disc space. Bertolotti syndrome is relatively common, with an incidence of 4.6% to 7% in patients with low back pain. The exact etiology of Bertolotti syndrome remains uncertain, although several hypotheses have been proposed. Case Report: A 17-year-old male presented with a long history of low back pain refractory to conservative treatment including medications, activity modification, and physical therapy. Unilateral Bertolotti syndrome was suspected. The diagnosis was confirmed with bupivacaine injection at the transitional articulation. The patient was treated with surgical resection of his enlarged left-sided L5 transverse process, resulting in complete resolution of pain. Conclusion: Lumbosacral transitional vertebrae are relatively common, so Bertolotti syndrome should be on the list of differential diagnoses for low back pain.
format Online
Article
Text
id pubmed-8929233
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Academic Division of Ochsner Clinic Foundation
record_format MEDLINE/PubMed
spelling pubmed-89292332022-03-29 Surgical Resection of Bertolotti Syndrome Sumarriva, Gonzalo Cook, Brandon Celestre, Paul Ochsner J Case Reports and Clinical Observations Background: Bertolotti syndrome is the association of lumbosacral transitional vertebrae and low back pain or sciatica. Lumbosacral transitional vertebrae are vertebrae with large transverse processes that (1) articulate or fuse with the sacrum or ilium and (2) have a caudal disc space. Bertolotti syndrome is relatively common, with an incidence of 4.6% to 7% in patients with low back pain. The exact etiology of Bertolotti syndrome remains uncertain, although several hypotheses have been proposed. Case Report: A 17-year-old male presented with a long history of low back pain refractory to conservative treatment including medications, activity modification, and physical therapy. Unilateral Bertolotti syndrome was suspected. The diagnosis was confirmed with bupivacaine injection at the transitional articulation. The patient was treated with surgical resection of his enlarged left-sided L5 transverse process, resulting in complete resolution of pain. Conclusion: Lumbosacral transitional vertebrae are relatively common, so Bertolotti syndrome should be on the list of differential diagnoses for low back pain. Academic Division of Ochsner Clinic Foundation 2022 2022 /pmc/articles/PMC8929233/ /pubmed/35355636 http://dx.doi.org/10.31486/toj.21.0012 Text en ©2022 by the author(s); Creative Commons Attribution License (CC BY) https://creativecommons.org/licenses/by/4.0/©2022 by the author(s); licensee Ochsner Journal, Ochsner Clinic Foundation, New Orleans, LA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (creativecommons.org/licenses/by/4.0/legalcode) that permits unrestricted use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Case Reports and Clinical Observations
Sumarriva, Gonzalo
Cook, Brandon
Celestre, Paul
Surgical Resection of Bertolotti Syndrome
title Surgical Resection of Bertolotti Syndrome
title_full Surgical Resection of Bertolotti Syndrome
title_fullStr Surgical Resection of Bertolotti Syndrome
title_full_unstemmed Surgical Resection of Bertolotti Syndrome
title_short Surgical Resection of Bertolotti Syndrome
title_sort surgical resection of bertolotti syndrome
topic Case Reports and Clinical Observations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8929233/
https://www.ncbi.nlm.nih.gov/pubmed/35355636
http://dx.doi.org/10.31486/toj.21.0012
work_keys_str_mv AT sumarrivagonzalo surgicalresectionofbertolottisyndrome
AT cookbrandon surgicalresectionofbertolottisyndrome
AT celestrepaul surgicalresectionofbertolottisyndrome