Department of Pre-Clinical Sciences, Faculty of Medical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago; Former Post-Doctoral Researcher, Ohio Musculoskeletal & Neurological Institute (OMNI), Department of Biomedical Sciences, Ohio University, Athens 45701, OH, USA.
Med Hypotheses. 2019 Mar;124:110-113. doi: 10.1016/j.mehy.2019.02.002. Epub 2019 Feb 2.
Lumbosacral transitional vertebrae (LSTV) anomalies may present as bio-mechanical dysfunctions leading to low back pain (LBP). Unilateral or incomplete/partial LSTVs have been documented to be associated with significant sacroiliac joint (SIJ) joint asymmetries. Objective evaluation of outcomes from routine clinical testing for sacral dysfunctions on these subsets of LSTV cannot be found in the literature. Based on quantitative studies available on LSTV-associated anatomical variations at the SIJ, this study hypothesizes probable outcomes of standard palpatory clinical tests used to evaluate sacral dysfunctions in unilateral LSTV anomalies. Since LSTV is reported in a sizeable percentage in the general population and due to its proposed etiological relationship with LBP, these entities warrant attention in terms of the anatomical bases of related clinical assessments and their outcomes, as proposed in this hypothesis.
腰骶部过渡性椎体（LSTV）异常可能表现为生物力学功能障碍，导致下腰痛（LBP）。已经有文献记录单侧或不完全/部分 LSTV 与显著的骶髂关节（SIJ）关节不对称有关。在这些 LSTV 亚组中，常规临床测试评估骶骨功能的结果的客观评估在文献中尚未找到。基于 SIJ 上与 LSTV 相关的解剖变异的定量研究，本研究假设用于评估单侧 LSTV 异常中骶骨功能障碍的标准触诊临床测试的可能结果。由于 LSTV 在普通人群中有相当大的比例，并且由于其与 LBP 的潜在病因关系，这些实体需要关注与相关临床评估及其结果相关的解剖基础，正如本假说所提出的那样。
