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Bertolotti Syndrome
Jeffrey S. Ross, MD
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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

                                1. Thawait GK et al: Spine segmentation and enumeration and normal variants. Radiol Clin North Am. 50(4):587-98, 2012
                                2. 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
                                3. 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
                                4. Mitra R et al: Bertolotti's syndrome: a case report. Pain Pract. 9(2):152-4, 2009
                                5. Ugokwe KT et al: Minimally invasive surgical treatment of Bertolotti's Syndrome: case report. Neurosurgery. 62(5 Suppl 2):ONSE454-5; discussion ONSE456, 2008
                                6. 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
                                7. Reitsma AM et al: Surgical treatment of symptomatic Bertolotti's syndrome in post-fusion patients. Orthopedics. 25(3):340-2, 2002
                                8. Brault JS et al: Partial lumbosacral transitional vertebra resection for contralateral facetogenic pain. Spine (Phila Pa 1976). 26(2):226-9, 2001
                                9. Elster AD: Bertolotti's syndrome revisited. Transitional vertebrae of the lumbar spine. Spine (Phila Pa 1976). 14(12):1373-7, 1989
                                10. 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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                                Related Differential Diagnoses
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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

                                                              1. Thawait GK et al: Spine segmentation and enumeration and normal variants. Radiol Clin North Am. 50(4):587-98, 2012
                                                              2. 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
                                                              3. 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
                                                              4. Mitra R et al: Bertolotti's syndrome: a case report. Pain Pract. 9(2):152-4, 2009
                                                              5. Ugokwe KT et al: Minimally invasive surgical treatment of Bertolotti's Syndrome: case report. Neurosurgery. 62(5 Suppl 2):ONSE454-5; discussion ONSE456, 2008
                                                              6. 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
                                                              7. Reitsma AM et al: Surgical treatment of symptomatic Bertolotti's syndrome in post-fusion patients. Orthopedics. 25(3):340-2, 2002
                                                              8. Brault JS et al: Partial lumbosacral transitional vertebra resection for contralateral facetogenic pain. Spine (Phila Pa 1976). 26(2):226-9, 2001
                                                              9. Elster AD: Bertolotti's syndrome revisited. Transitional vertebrae of the lumbar spine. Spine (Phila Pa 1976). 14(12):1373-7, 1989
                                                              10. Castellvi AE et al: Lumbosacral transitional vertebrae and their relationship with lumbar extradural defects. Spine (Phila Pa 1976). 9(5):493-5, 1984