Alonzo Francisco, Cobar Andres, Cahueque Mario, Prieto Jose Antonio
Hospital "Ceibal" de Accidentes, Guatemalan Social Security Institute, Guatemala, Guatemala.
Hospital Centro Médico, Guatemala, Guatemala.
J Surg Case Rep. 2018 Oct 17;2018(10):rjy276. doi: 10.1093/jscr/rjy276. eCollection 2018 Oct.
Bertolotti's syndrome refers to the presence of pain associated to the anatomical variant of sacralization of the last lumbar vertebra. It is often a factor that is not addressed in the evaluation and treatment of lower back pain. The presence of a lumbosacral transitional vertebra is a common finding among general population with a prevalence that ranges between 4 and 30%, however, this finding is rarely associated to the cause of lower back pain and thus, the prevalence of Bertolotti's syndrome in general population is unknown doe to underdiagnosis. The sacralization of the fifth lumbar vertebra has been related to changes in the anatomy and biomechanics of the spine with no general agreement to its clinical significance, however Bertolotti's syndrome should be considered as a differential diagnosis for lower back pain, therefore, its pathophysiology, epidemiology and treatment must be a topic of general knowledge to physicians that often treat this condition.
贝托洛蒂综合征是指与最后一个腰椎骶化的解剖变异相关的疼痛。它常常是在评估和治疗下背痛时未被考虑的一个因素。腰骶部移行椎在普通人群中很常见，患病率在4%至30%之间，然而，这一发现很少与下背痛的病因相关，因此，由于诊断不足，普通人群中贝托洛蒂综合征的患病率尚不清楚。第五腰椎骶化与脊柱的解剖结构和生物力学变化有关，但其临床意义尚无定论，然而，贝托洛蒂综合征应被视为下背痛的鉴别诊断之一，因此，其病理生理学、流行病学和治疗方法必须是经常治疗这种疾病的医生所具备的常识性话题。
