Unilateral sacralization of L5

Case contributed by Ammar Haouimi
Diagnosis certain

Presentation

Low back pain.

Patient Data

Age: 25 years
Gender: Male

Enlargement with pseudoarticulation / pseudoarthrosis of the left transverse process of L5 and sacrum in keeping with unilateral sacralization of L5.

Spina bifida oculta of L5 and S1.

No disc herniation was seen on axial CT images (not shown).

Case Discussion

CT feature of unilateral sacralization of L5, type IIa according to Castellvi classification of lumbosacral transitional vertebrae.

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