Intraoperative navigation-guided resection of anomalous transverse processes in patients with Bertolotti's syndrome.
Publication Title
Surg Neurol Int
Document Type
Article
Publication Date
1-1-2017
Keywords
Bertolotti's syndrome; pseudoarticulation; sacrum; transverse process
Abstract
BACKGROUND: Bertolotti's syndrome is characterized by enlargement of the transverse process at the most caudal lumbar vertebra with a pseudoarticulation between the transverse process and sacral ala. Here, we describe the use of intraoperative three-dimensional image-guided navigation in the resection of anomalous transverse processes in two patients with Bertolotti's syndrome.
CASE DESCRIPTIONS: Two patients diagnosed with Bertolotti's syndrome who had undergone the above-mentioned procedure were identified. The patients were 17- and 38-years-old, and presented with severe, chronic low back pain that was resistant to conservative treatment. Imaging revealed lumbosacral transitional vertebrae at the level of L5-S1, which was consistent with Bertolotti's syndrome. Injections of the pseudoarticulations resulted in only temporary symptomatic relief. Thus, the patients subsequently underwent O-arm neuronavigational resection of the bony defects. Both patients experienced immediate pain resolution (documented on the postoperative notes) and remained asymptomatic 1 year later.
CONCLUSION: Intraoperative three-dimensional imaging and navigation guidance facilitated the resection of anomalous transverse processes in two patients with Bertolotti's syndrome. Excellent outcomes were achieved in both patients.
Area of Special Interest
Neurosciences (Brain & Spine)
Specialty/Research Institute
Orthopedics
Specialty/Research Institute
Neurosciences
Specialty/Research Institute
Surgery
