Cuenca C, Bataille J, Ghouilem M, Ballouhey Q, Fourcade L, Marcheix P-S
Department of Pediatric Surgery, Dupuytren University Hospital, 2, Avenue Martin Luther King, 87042 Limoges cedex, France.
Department of Orthopedic Surgery, Dupuytren University Hospital, 2, Avenue Martin Luther King, 87042 Limoges cedex, France.
Neurochirurgie. 2019 Dec;65(6):421-424. doi: 10.1016/j.neuchi.2019.06.004. Epub 2019 Jul 10.
Bertolotti's syndrome is a little-known and little-discussed pathology. We report the case of a 13-year-old child diagnosed with Bertolotti's syndrome after several years of functional complaints. Conventional radiography was used to diagnose the transverse mega-apophysis of L5, while sectional and functional imaging confirmed a lumbosacral-iliac impingement. In view of the transient efficacy of medical management, surgical resection of the transverse mega-apophysis was performed. The medium-term decline in symptoms was excellent and the patient resumed physical activities without limitation or pain.
贝托洛蒂综合征是一种鲜为人知且很少被讨论的病理状况。我们报告了一例13岁儿童的病例，该儿童在经历数年功能障碍性主诉后被诊断为贝托洛蒂综合征。采用传统放射成像诊断出L5横突大骨突，而断层扫描和功能成像证实存在腰骶-髂骨撞击。鉴于药物治疗的短暂疗效，遂对横突大骨突进行了手术切除。症状在中期有显著改善，患者恢复了体力活动，且不受限制也无疼痛。
