Prevalence and severity of Bertolotti’s syndrome in Malaysia: A common under diagnosis

Autor: Mohamad Faiz Noorman, Ahmad Anuar Sofian, Mohd Khairuddin Kandar, Ashraf Hakim Ab Halim, Mohd Hezery Harun, Fadzrul Abbas Mohamed Ramlee, Fahrudin Che Hamzah, Ezamin Abdul Rahim
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Malaysian Family Physician, Vol 17, Iss 3, Pp 121-127 (2022)
Druh dokumentu: article
ISSN: 1985-207X
1985-2274
DOI: 10.51866/oa.64
Popis: Introduction: Bertolotti’s syndrome (BS) is defined as the presence of low back pain (LBP), radiculopathy or both with a dysplastic transverse process (TP) of the fifth lumbar vertebra that is articulated or fused with the sacral base or iliac crest. This study aimed to investigate the prevalence and severity of BS to promote awareness of this disease. Methods: A retrospective review of anteroposterior lumbosacral plain radiographs was conducted between 1 January and 31 December 2017. Patients were recruited via systematic randomised sampling and were then interviewed and examined. The severity of BS was measured objectively using the numerical pain rating scale (NPRS) and Oswestry disability questionnaire (ODQ). Data were analysed using IBM SPSS for Windows version 22. Results: The prevalence of BS was 9.6% (16/166). Age significantly affected the severity of BS. The older and younger groups had a mean ODQ score of 42.86% and 24.08%, respectively (P=0.006). There was no significant relationship found between the prevalence of BS and age (P=0.126). Only one patient was diagnosed with BS during medical consultation. The mean NPRS score was 5.5. The majority of the BS cases were of moderate severity (43.8%), followed by those of minimal severity (31.2%) and severe disability (25%). Conclusion: Early diagnosis of BS and orthopaedic referral are crucial to halt its progression. BS should be considered in patients presenting with LBP during assessments of lumbosacral radiographs.
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