Kumar Jasvindar, Ali Sundas, Zadran Nasrullah, Singh Manjeet, Ahmed Zahoor
Internal Medicine, Khyber Teaching Hospital, Peshawar, PAK.
Internal Medicine, Holy Family Hospital/Rawalpindi Medical University, Rawalpindi, PAK.
Cureus. 2020 Oct 15;12(10):e10957. doi: 10.7759/cureus.10957.
Bertolotti's syndrome is a congenital condition characterized by the sacralization of the lower lumbar vertebrae or the lumbarization of the sacral vertebrae. The cause of pain in Bertolotti's syndrome is multifactorial. This lumbosacral transitional vertebra has a prevalence of 4% to 30%. Rarely, it is considered in the differential diagnosis of low back pain in young people. Therefore, every aspect of Bertolotti's syndrome needs to be meticulously addressed, and it should be included in the differential diagnosis of chronic back pain. Herein, we present a case of Bertolotti's syndrome presented with chronic lower back pain, confirmed on X-ray and magnetic resonance imaging (MRI). He was managed with analgesics and steroids injection with regular follow-up.
贝托洛蒂综合征是一种先天性疾病，其特征为下腰椎椎体骶化或骶椎腰化。贝托洛蒂综合征疼痛的原因是多因素的。这种腰骶部移行椎的患病率为4%至30%。在年轻人腰痛的鉴别诊断中，它很少被考虑到。因此，贝托洛蒂综合征的各个方面都需要仔细研究，并且应将其纳入慢性背痛的鉴别诊断中。在此，我们报告一例以慢性下腰痛为表现的贝托洛蒂综合征病例，经X线和磁共振成像（MRI）确诊。对其采用镇痛药和类固醇注射治疗，并进行定期随访。
