Chronic low back pain while playing basketball. Gradual improvement of symptoms with rest.
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Sacralisation of the L5 transverse process on the right side and narrowing of the adjacent SI joint.
Bertollotti syndrome is partial or complete fusion of the transverse process of the L5 vertebra to the sacrum. It can be unilateral or bilateral.
It is an important cause for back pain in young patients and it affects 4-8% of the population.
Xray of the lumbosacral spine is usually sufficient for diagnosis. MRI is useful when radicular features with a prolapsed disc co-occur.
- Jain A, Agarwal A, Jain S, Shamshery C. Bertolotti Syndrome: A Diagnostic and Management Dilemma for Pain Physicians. The Korean Journal of Pain. 2013;26(4):368-373. doi:10.3344/kjp.2013.26.4.368.