Bertolotti syndrome

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Lumbar pain.

Patient Data

Age: 25 years
Gender: Female
x-ray

Pseudoarticulation of the left L5 transverse process and sacrum with incomplete lumbarization/sacralization.

Case Discussion

This is a case of type IIa lumbosacral transitional vertebrae according to the Castellvi classification. Some studies suggest lumbosacral transitional vertebrae types II and IV positively correlating with the prevalence and severity of lower back pain and buttock pain1.

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