Bertolotti's syndrome is an atypical cause of axial low back pain or buttock pain caused by a transitional lumbar vertebrae with a large transverse process that either fuses with the sacrum (sacral ala) or ilium, or forms a pseudoarticulation at that location.

Abstract. Bertolotti’s syndrome refers to the presence of pain associated to the anatomical variant of sacralization of the last lumbar vertebra. It is oft

Unsuspected reason for sciatica in Bertolotti’s syndrome

OBJECTIVE Bertolotti syndrome is a diagnosis given to patients experiencing low-back pain due to a lumbosacral transitional vertebra (LSTV). LSTVs cause altered biomechanics at the lumbosacral junction, predisposing these patients to degenerative disease. It has been proposed that these patients have additional non-osseous variation such as ligamentous differences in the lumbar spine. The iliolumbar ligament, which attaches from the iliac crest to the transverse process of L4 and L5, plays a…

The femoral head should not extend medial to a line drawn from the medial aspect of the pelvis wall and the lateral aspect of the obturator foramen. The distance between the acetabulum and the ilio...

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Introduction Lumbosacral transitional vertebra is an anatomical variation of the fifth lumbar vertebra in which an enlarged transverse process can form a joint or fusion with the sacrum or ilium. The association of that variant with low back pain and the change in the biomechanical properties of the lumbar spine is called Bertolotti's syndrome. Case presentation We report a case of a 40-year-old male patient with chronic low back pain extending to the left buttock, just above the ipsilateral…

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The National Institutes of Health estimate that upward of 80 percent of adults experience low back pain at some point in their lifetimes. [1] Sometimes, this pain is the result of disc degeneration, strain from overuse or poor lifting, or perhaps a fall or injury. In other cases, however, the pain may be the result of a congenital skeletal abnormality. Most people have five lumbar vertebrae. They ...

Bertolotti syndrome might not be a usual suspect in lower back pain, but diagnostic detective work can uncover this common congenital condition.