Diagnosis & Treatment

Flowchart showing diagnosis and treatment options for Bertolotti's Syndrome.
X-Ray of Bertolotti's anatomy

  • X-Ray image of Type 2B LSTV

MRI of patient with Type IIB Bertolotti's Syndrome

  • CT image of Type 2B LSTV

References:

Alonzo, F., Cobar, A., Cahueque, M., & Prieto, J. A. (2018). Bertolotti’s syndrome: An underdiagnosed cause for lower back pain. Journal of Surgical Case Reports, 2018(10), rjy276. https://doi.org/10.1093/jscr/rjy276

Castellvi, A. E., Goldstein, L. A., & Chan, D. P. K. (1984). Lumbosacral Transitional Vertebrae and Their Relationship With Lumbar Extradural Defects. Spine, 9(5), 493.

Jenkins, A. L., O’Donnell, J., Chung, R. J., Jenkins, S., Hawks, C., Lazarus, D., McCaffrey, T., Terai, H., & Harvie, C. (2023). Redefining the Classification for Bertolotti Syndrome: Anatomical Findings in Lumbosacral Transitional Vertebrae Guide Treatment Selection. World Neurosurgery, 175, e303–e313. https://doi.org/10.1016/j.wneu.2023.03.077

Kapetanakis, S., Chaniotakis, C., Paraskevopoulos, C., & Pavlidis, P. (2017). An Unusual Case Report of Bertolotti’s Syndrome: Extraforaminal Stenosis and L5 Unilateral Root Compression (Castellvi Type III an LSTV). Journal of Orthopaedic Case Reports, 7(3), 9–12. https://doi.org/10.13107/jocr.2250-0685.782

McGrath, K., Schmidt, E., Rabah, N., Abubakr, M., & Steinmetz, M. (2021). Clinical assessment and management of Bertolotti Syndrome: A review of the literature. The Spine Journal, 21(8), 1286–1296. https://doi.org/10.1016/j.spinee.2021.02.023

Zhu, W., Ding, X., Zheng, J., Zeng, F., Zhang, F., Wu, X., Sun, Y., Ma, J., & Yin, M. (2023). A systematic review and bibliometric study of Bertolotti’s syndrome: Clinical characteristics and global trends.