Bertolotti syndrome

Case contributed by Dr Abdallah Al Khateeb

Presentation

Right lumbar region pain (renal colic?)

Patient Data

Age: 25 years
Gender: Male
CT

Stone protocol CT scan

Hypertrophic right L5 transverse process with pseudo articulation with the sacrum representing a type IIa lumbosacral transitional vertebra (Castellvi classification).

The facet joints are unremarkable. 

Case Discussion

Lumbosacral transitional vertebra (LSTV) is a commonly encountered finding. Its recognition is straightforward, but can be overlooked. Meanwhile, its clinical significance is in doubt. 

The presence of low back pain along with a lumbosacral transitional vertebra makes this syndrome, but it remains controversial.

According to Castellvi classification of lumbosacral vertebrae, this case is consistent with type IIa LSTV. 

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Case information

rID: 44605
Published: 28th Apr 2016
Last edited: 23rd Feb 2020
Inclusion in quiz mode: Included

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