Riyami Khulood S Al, Alahmed Suliman M, Saad Ziauddin Z, Bomanji Jamshed
Department of Nuclear Medicine, University College London Hospital, London, UK.
World J Nucl Med. 2017 Oct-Dec;16(4):328-330. doi: 10.4103/1450-1147.215495.
The cause of low back pain due to lumbosacral transitional vertebra (LSTV) still remains a debated topic. Functional imaging with bone scintigraphy has been a valuable adjunct in its assessment; however, in recent years, the additional utility of single-photon emission tomography with computed tomography (SPECT/CT) is evolving as the imaging modality of choice in identifying range of complex lower back pain sources, leading to the provision of suitable treatment options. We present a case demonstrating a variant type of LSTV as a source of pain localized and delineated on hybrid SPECT/CT imaging treated by minimally invasive microendoscopic resection of the pseudoarticulations.
腰骶部移行椎（LSTV）所致下腰痛的病因仍是一个有争议的话题。骨闪烁显像功能成像在其评估中一直是一种有价值的辅助手段；然而，近年来，单光子发射断层扫描与计算机断层扫描（SPECT/CT）的额外效用正在发展成为识别复杂下腰痛源范围的首选成像方式，从而能够提供合适的治疗方案。我们报告一例病例，展示了一种变异型LSTV作为疼痛源，通过混合SPECT/CT成像定位并描绘，采用微创显微内镜下假关节切除术进行治疗。
