Paraskevas Georgios, Tzaveas Alexandros, Koutras Georgios, Natsis Konstantinos
Orthopaedic Department, Panagia Hospital Nik. Plastira 22, N. Krini, 55132, Kalamaria, Thessaloniki Greece.
Cases J. 2009 Jul 6;2:8320. doi: 10.4076/1757-1626-2-8320.
Lumbosacral transitional vertebra is an anatomical variation of the fifth lumbar vertebra in which an enlarged transverse process can form a joint or fusion with the sacrum or ilium. The association of that variant with low back pain and the change in the biomechanical properties of the lumbar spine is called Bertolotti's syndrome.
We report a case of a 40-year-old male patient with chronic low back pain extending to the left buttock, just above the ipsilateral sacroiliac joint. Radiographic investigation revealed an anomalous enlargement of the left transverse process of the fifth lumbar vertebra forming a pseudarthrosis with the infrajacent ala of the sacrum.
In young patients with back pain the possibility of Bertolotti's syndrome should always be taken in account.
腰骶部移行椎是第五腰椎的一种解剖变异，其中增大的横突可与骶骨或髂骨形成关节或融合。该变异与下腰痛以及腰椎生物力学特性改变的关联被称为贝托洛蒂综合征。
我们报告一例40岁男性患者，患有慢性下腰痛，疼痛延伸至左侧臀部，恰好在同侧骶髂关节上方。影像学检查显示第五腰椎左侧横突异常增大，与下方骶骨翼形成假关节。
对于有背痛的年轻患者，应始终考虑贝托洛蒂综合征的可能性。
