Your browser doesn't support javascript.
loading
A Proposed Treatment Algorithm for Low Back Pain Secondary to Bertolotti's Syndrome.
Chitneni, Ahish; Kim, Richard; Danssaert, Zachary; Kumar, Sanjeev.
Afiliación
  • Chitneni A; Department of Rehabilitation and Regenerative Medicine, New York- Presbyterian Hospital - Columbia and Cornell, New York, NY.
  • Kim R; Department of Rehabilitation and Regenerative Medicine, New York- Presbyterian Hospital - Columbia and Cornell, New York, NY.
  • Danssaert Z; Department of Rehabilitation and Regenerative Medicine, New York- Presbyterian Hospital - Columbia and Cornell, New York, NY.
  • Kumar S; Anesthesiology and Pain Medicine, University of Florida, Gainesville, FL.
Pain Physician ; 27(2): E275-E284, 2024 Feb.
Article en En | MEDLINE | ID: mdl-38324794
ABSTRACT

BACKGROUND:

Chronic low back pain is widely prevalent, and there are a range of conditions that may result in the low back pain. In general, treatment of low back pain starts with conservative management such as medications, physical therapy, and home exercise regimens. If conservative measures fail, a range of interventional techniques can be employed to manage back pain. An uncommonly recognized cause of back pain is Bertolotti's syndrome which is a result of back pain due to lumbosacral transitional vertebrae (LSTV). LSTV is a congenital abnormality either characterized by the lumbarization of the sacrum where the first sacral bone fails to fuse with the rest of the sacrum or the sacralization of the lumbar spine where the L5 vertebra fuses with the sacrum creating a longer sacrum. In many cases, the condition can be recognized by imaging techniques such as an x-ray, computed tomography, or magnetic resonance imaging.

OBJECTIVES:

To propose a treatment algorithm for patients with low back pain secondary to Bertolotti's syndrome. STUDY

DESIGN:

Case study and treatment algorithm proposal.

METHODS:

A treatment algorithm for patients with low back pain secondary to Bertolotti's Syndrome which involves starting with local anesthetic and steroid injection of the pseudo-articulation, followed by radiofrequency ablation of the pseudo-articulation, and then complete endoscopic resection of the pseudo joint.

RESULTS:

The proposed stepwise treatment guideline has the ability to diagnose Bertolotti's syndrome as the cause of low back pain and provide symptomatic relief.

LIMITATIONS:

Several limitations exist for the study including the fact that the algorithmic approach may not fit every patient. Additionally, there would be benefit in future research studies comparing each step of the algorithm with conservative measures to compare efficacy and long-term outcomes of the procedures.

CONCLUSIONS:

Our stepwise approach to diagnosing and managing the pain resulting from Bertolotti's syndrome is an effective method of treatment for the condition.
Asunto(s)
Palabras clave
Buscar en Google
Añadir a Mi BVS
Imprimir
XML
PubMed Links

Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de la Columna Vertebral / Dolor de la Región Lumbar Tipo de estudio: Etiology_studies / Guideline / Prognostic_studies Límite: Humans Idioma: En Revista: Pain Physician Asunto de la revista: PSICOFISIOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Buscar en Google
Añadir a Mi BVS
Imprimir
XML
PubMed Links

Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de la Columna Vertebral / Dolor de la Región Lumbar Tipo de estudio: Etiology_studies / Guideline / Prognostic_studies Límite: Humans Idioma: En Revista: Pain Physician Asunto de la revista: PSICOFISIOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos