CASE REPORT OF LUMBOSACRAL TRANSITIONAL VERTEBRA (BERTOLOTTI’S SYNDROME)
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 19
Abstract
PRESENTATION OF CASE Lumbosacral transitional vertebra is an anatomical variation of the fifth lumbar vertebra. Transverse process becomes enlarged and forms a joint or fusion with the sacrum or ilium. In young people with low backache, one must consider it as a differential diagnosis. We report two cases with lower back pain and sciatica. One case is of a 24-years-old girl who presented with a history of low back pain for a period of 18 months. Pain radiated to the left leg. She didn’t have any co-morbidities. She took non-steroidal anti-inflammatory drugs for 12 months, but pain was not relieved. The second case is of a 26- years-old girl who presented with a history of lower backache for a period of 14 months. Back pain is radiating to right leg. She didn’t have any co-morbidities. She had taken non-steroidal anti-inflammatory drugs for 12 months and local steroid one time but pain still persistent. It is not a rare anatomical variation. Incidence of Bertolotti’s syndrome is 4% to 21%2, 3. Recently a very high incidence of 30% has also been reported3. Some authors opine that the transitional vertebrae cause symptoms of back pain or sciatica, some authors claim that this doesn’t affect their incidence.
Authors and Affiliations
Tadikonda Bhavani Prasad, Sameer Chaitanya Sahini, Tadikonda Krishna Srivathsav
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