Back pain related to unilateral or bilateral enlargement of transverse process (TP) of most caudal lumbar vertebra, which may articulate or fuse with sacrum or ilium
IMAGING
General Features
CT Findings
MR Findings
Nuclear Medicine Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Golubovsky JL et al: Understanding quality of life and treatment history of patients with Bertolotti syndrome compared with lumbosacral radiculopathy. J Neurosurg Spine. 1-7, 2019
Yousif S et al: Minimally invasive resection of lumbosacral pseudojoint resulting in complete resolution of a lower back pain - a case report and review of Bertolotti syndrome. J Clin Neurosci. 51:67-8, 2018
Jancuska JM et al: A review of symptomatic lumbosacral transitional vertebrae: Bertolotti's syndrome. Int J Spine Surg. 9:42, 2015
Thawait GK et al: Spine segmentation and enumeration and normal variants. Radiol Clin North Am. 50(4):587-98, 2012
Mellado JM et al: MDCT of variations and anomalies of the neural arch and its processes: part 2--articular processes, transverse processes, and high cervical spine. AJR Am J Roentgenol. 197(1):W114-21, 2011
Almeida DB et al: Transitional lumbosacral vertebrae and low back pain: diagnostic pitfalls and management of Bertolotti's syndrome. Arq Neuropsiquiatr. 67(2A):268-72, 2009
Mitra R et al: Bertolotti's syndrome: a case report. Pain Pract. 9(2):152-4, 2009
Ugokwe KT et al: Minimally invasive surgical treatment of Bertolotti's syndrome: case report. Neurosurgery. 62(5 Suppl 2):ONSE454-5; discussion ONSE456, 2008
Quinlan JF et al: Bertolotti's syndrome. A cause of back pain in young people. J Bone Joint Surg Br. 88(9):1183-6, 2006
Reitsma AM et al: Surgical treatment of symptomatic Bertolotti's syndrome in post-fusion patients. Orthopedics. 25(3):340-2, 2002
Brault JS et al: Partial lumbosacral transitional vertebra resection for contralateral facetogenic pain. Spine (Phila Pa 1976). 26(2):226-9, 2001
Elster AD: Bertolotti's syndrome revisited. Transitional vertebrae of the lumbar spine. Spine (Phila Pa 1976). 14(12):1373-7, 1989
Castellvi AE et al: Lumbosacral transitional vertebrae and their relationship with lumbar extradural defects. Spine (Phila Pa 1976). 9(5):493-5, 1984
Related Anatomy
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Definitions
Back pain related to unilateral or bilateral enlargement of transverse process (TP) of most caudal lumbar vertebra, which may articulate or fuse with sacrum or ilium
IMAGING
General Features
CT Findings
MR Findings
Nuclear Medicine Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Golubovsky JL et al: Understanding quality of life and treatment history of patients with Bertolotti syndrome compared with lumbosacral radiculopathy. J Neurosurg Spine. 1-7, 2019
Yousif S et al: Minimally invasive resection of lumbosacral pseudojoint resulting in complete resolution of a lower back pain - a case report and review of Bertolotti syndrome. J Clin Neurosci. 51:67-8, 2018
Jancuska JM et al: A review of symptomatic lumbosacral transitional vertebrae: Bertolotti's syndrome. Int J Spine Surg. 9:42, 2015
Thawait GK et al: Spine segmentation and enumeration and normal variants. Radiol Clin North Am. 50(4):587-98, 2012
Mellado JM et al: MDCT of variations and anomalies of the neural arch and its processes: part 2--articular processes, transverse processes, and high cervical spine. AJR Am J Roentgenol. 197(1):W114-21, 2011
Almeida DB et al: Transitional lumbosacral vertebrae and low back pain: diagnostic pitfalls and management of Bertolotti's syndrome. Arq Neuropsiquiatr. 67(2A):268-72, 2009
Mitra R et al: Bertolotti's syndrome: a case report. Pain Pract. 9(2):152-4, 2009
Ugokwe KT et al: Minimally invasive surgical treatment of Bertolotti's syndrome: case report. Neurosurgery. 62(5 Suppl 2):ONSE454-5; discussion ONSE456, 2008
Quinlan JF et al: Bertolotti's syndrome. A cause of back pain in young people. J Bone Joint Surg Br. 88(9):1183-6, 2006
Reitsma AM et al: Surgical treatment of symptomatic Bertolotti's syndrome in post-fusion patients. Orthopedics. 25(3):340-2, 2002
Brault JS et al: Partial lumbosacral transitional vertebra resection for contralateral facetogenic pain. Spine (Phila Pa 1976). 26(2):226-9, 2001
Elster AD: Bertolotti's syndrome revisited. Transitional vertebrae of the lumbar spine. Spine (Phila Pa 1976). 14(12):1373-7, 1989
Castellvi AE et al: Lumbosacral transitional vertebrae and their relationship with lumbar extradural defects. Spine (Phila Pa 1976). 9(5):493-5, 1984
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