• J Bone Joint Surg Br · Sep 2006

    Bertolotti's syndrome. A cause of back pain in young people.

    • J F Quinlan, D Duke, and S Eustace.
    • Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Republic of Ireland. jfquinlan@hotmail.com
    • J Bone Joint Surg Br. 2006 Sep 1; 88 (9): 1183-6.

    AbstractBertolotti's syndrome is characterised by anomalous enlargement of the transverse process(es) of the most caudal lumbar vertebra which may articulate or fuse with the sacrum or ilium and cause isolated L4/5 disc disease. We analysed the elective MR scans of the lumbosacral spine of 769 consecutive patients with low back pain taken between July 2003 and November 2004. Of these 568 showed disc degeneration. Bertolotti's syndrome was present in 35 patients with a mean age of 32.7 years (15 to 60). This was a younger age than that of patients with multiple disc degeneration, single-level disease and isolated disc degeneration at the L4/5 level (p

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