Multimodality imaging in Bertolotti's syndrome: an important cause of low back pain in young adults
| Autor: | Karthik Shyam, Babu Philip, Sankar Neelakantan, Rakesh Anandarajan |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
Adult Pathology medicine.medical_specialty Radiography Multimodal Imaging Article 03 medical and health sciences 0302 clinical medicine Lumbar Ala of sacrum Multidetector Computed Tomography medicine Outpatient clinic Humans 030203 arthritis & rheumatology Lumbar Vertebrae business.industry General Medicine Anatomy Syndrome Low back pain Magnetic Resonance Imaging Vertebra medicine.anatomical_structure Orthopedic surgery medicine.symptom business Low Back Pain 030217 neurology & neurosurgery Lumbosacral joint |
| Zdroj: | BMJ case reports. 2016 |
| ISSN: | 1757-790X |
| Popis: | A 30-year-old woman presented to the orthopaedics outpatient department with low back pain (LBP) for 4 weeks, not relieved on medications. She had no known comorbidities. On examination, there was movement restriction of the lower spine and focal right posterior lumbar tenderness. Blood routines showed raised acute inflammatory markers. Imaging work-up included a routine frontal radiograph of the lumbar spine which showed a lumbosacral transition vertebra with enlarged right transverse process (figure 1). Sacroilliac joints appeared normal. Plain MRI of the lumbar spine was performed which revealed lumbosacral transitional vertebra (LSTV) with enlarged transverse process articulating with the sacral ala bilaterally forming diarthroidal joint (Castellvi type IIb) and the subchondral bone of this joint showed T2 short τ inversion recovery hyperintense signals and hypointense signals on T1-weighted images, which was suggestive of marrow oedema. The intervening cartilage was also hyperintense. There were no signal abnormalities on the left side. Rest of the lumbar spine was normal. These features were suggestive of inflammatory changes occurring in an underlying pseudoarthrosis between the right transverse process of L5 and right sacral ala (figures 2–⇓4). Thus, a diagnosis of Bertolotti’s syndrome (BS) was made. Correlative plain multidetector CT scan … |
| Databáze: | OpenAIRE |
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