• J Bone Joint Surg Br · May 2011

    Case Reports

    Unsuspected reason for sciatica in Bertolotti's syndrome.

    • M Shibayama, F Ito, Y Miura, S Nakamura, S Ikeda, and K Fujiwara.
    • Aichi Spine Institute, 41 Gouhigashi, Takao, Fuso-cho, Niwa-gun, Aichi 480-0102, Japan. moto@itoortho.or.jp
    • J Bone Joint Surg Br. 2011 May 1; 93 (5): 705-7.

    AbstractPatients 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.

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