Lumbosacral transitional vertebra with scoliosis

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Right loin pain.

Patient Data

Age: 25 years
Gender: Male

Sacralized L5 vertebra with pseudoarticulation on the left side (Castellvi type 2a).

Moderate lumbar scoliosis with convexity towards right side and apex at T12-L1 disc level.

Lower third right ureteric small stone (4.5 mm).

Case Discussion

Scoliosis may be related to congenital abnormalities, neuromuscular diseases, or secondarily to degenerative changes. Lumbosacral transitional vertebra is a congenital abnormality that can alter the mechanical balance responsible for spinal stability resulting in scoliosis, especially in cases with unilateral sacralization 1,2.

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