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Bertolotti's syndrome

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M Shibayama, F Ito, Y Miura, S Nakamura, S Ikeda, K Fujiwara
Patients with Bertolotti's syndrome have characteristic lumbosacral anomalies and often have severe sciatica. We describe a patient with this syndrome in whom standard decompression of the affected nerve root failed, but endoscopic lumbosacral extraforaminal decompression relieved the symptoms. We suggest that the intractable sciatica in this syndrome could arise from impingement of the nerve root extraforaminally by compression caused by the enlarged transverse process.
May 2011: Journal of Bone and Joint Surgery. British Volume
Yumeng Li, Daniel Lubelski, Kalil G Abdullah, Thomas E Mroz, Michael P Steinmetz
OBJECT: Bertolotti's syndrome consists of low-back pain caused by lumbosacral transitional vertebrae (LSTVs) and LSTV-associated biomechanical spinal changes. There is a lack of consensus regarding the cause, clinical significance, and treatment of this condition. The authors aim to characterize the clinical presentation of patients with Bertolotti's syndrome and describe a minimally invasive surgical treatment for this condition. METHODS: Seven patients who underwent minimally invasive paramedian tubular-based resection of the LSTV for Bertolotti's syndrome were identified over the course of 5 years...
March 2014: Journal of Neurosurgery. Spine
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