Purpose: To assess the prevalence and degree of lumbosacral transitional vertebrae (LSTV) in the Osteoarthritis Initiative (OAI) cohort, to assess whether LSTV correlates with low back pain (LBP) and buttock pain, and to assess the reproducibility of grading LSTV.
Materials & Methods: Institutional review board approval was obtained, and informed consent documentation was approved for the study protocol. Standard standing pelvic radiographs that included the transverse processes of L5 were graded according to Castellvi classification of LSTV in 4636 participants (1992 men and 2804 women; aged 45-80 years) from the OAI cohort. These data were correlated with prevalence and severity of LBP and buttock pain.
Results: Prevalence of LSTV was 18.1% (841 of 4636), with a higher rate in men than in women (28.1% vs 11.1%, respectively; P<.001). Of the 841 individuals with LSTV, 41.72% were type I (dysplastic enlarged transverse process), 41.4% were type II (pseudoarticulation), 11.5% were type III (fusion), and 5.2% were type IV (one transverse process fused and one with pseudoarticulation). Of the participants without LSTV, 53.9% reported LBP, while the prevalence of LBP for types I, II, III, and IV was 46%, 73%, 40%, and 66%, respectively (P<.05, χ2 test). Types II and IV had higher prevalence and severity of LBP and buttock pain (P<.001).
Conclusion: LSTV types II and IV positively correlate with prevalence and severity of LBP and buttock pain.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3480814 | PMC |
| http://dx.doi.org/10.1148/radiol.12112747 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
An update on the prevalence and management of Bertolotti's syndrome.
Front Surg
December 2024
Cantor Spine Center at the Paley Institute, West Palm Beach, FL, United States.
Bertolotti's Syndrome, a subset of lumbosacral transitional vertebrae (LSTV), is one cause of chronic low back pain (LBP), and a commonly overlooked differential diagnosis. The incidence of Bertolotti's Syndrome has been underestimated in the past and is common in those of younger ages around 30-40. Although diagnostics, imaging methods, and treatment algorithms have been improved in the past few years, there is no gold standard and more long-term, prospective research is needed.
View Article and Find Full Text PDFLumbosacral transitional vertebrae in small-breed dogs: Prevalence, classification, and characteristics.
Vet Radiol Ultrasound
January 2025
Section of Veterinary Medical Imaging, College of Veterinary Medicine, Chungbuk National University, Cheongju, South Korea.
The lumbosacral transitional vertebra (LTV) is an abnormally formed vertebra that can be associated with cauda equina syndrome, lumbosacral (LS) degeneration, and pelvic rotation. However, there is little information on LTV in small-breed dogs, and no studies have investigated the association between LTV and LS diseases or degenerative changes in the coxofemoral joints. The purpose of this multicenter, retrospective, and cross-sectional study was to determine the prevalence of LTV in small-breed dogs (<10 kg), classify the type of LTV, and identify its association with degenerative changes in the LS and coxofemoral joints using CT images.
View Article and Find Full Text PDFOral pharmacological management of Bertolotti syndrome presenting as chronic low back pain - A case report and review of literature.
J Orthop
April 2025
School of Medicine, University of Central Lancashire, Preston, PR1 7BH, United Kingdom.
Article Synopsis
- Bertolotti syndrome (BS) is a condition often overlooked in young people with chronic lower back pain, linked to unusual lumbosacral vertebrae.
- A case study of a 19-year-old woman showed BS was diagnosed after imaging confirmed fusion of a vertebra, leading to significant pain and movement restrictions.
- The patient opted for conservative treatment with medication and exercise, resulting in a full recovery at the six-month follow-up, highlighting the need for better awareness of BS in chronic pain assessments.
The Implications of Sacralized Transitional Vertebra on Spinal Alignment.
Spine (Phila Pa 1976)
October 2024
Department of Orthopedic Surgery, Hôpital Européen Georges Pompidou, Paris, France.
Study Design: Retrospective study of a multicentric prospective database.
Objective: This study aimed to determine, in a cohort of healthy volunteers, the impact of sacralized lumbo-sacral transitional vertebra (LSTV) on spinal alignment according to its grade, particularly regarding lumbar lordosis magnitude and distribution, and the implications for spinopelvic parameters measurement.
Summary Of Background Data: There is little data regarding spinopelvic alignment assessment in LSTV patients.
Castellvi classification of lumbosacral transitional vertebrae: comparison between conventional radiography, CT, and MRI.
Acta Radiol
December 2024
Department of Diagnostic Radiology, Oulu University Hospital, Oulu, Finland.
Background: The reliability and diagnostic accuracy of commonly used diagnostic imaging modalities in the classification of lumbosacral transitional vertebrae (LSTV) are poorly known, and comparative studies are scarce.
Purpose: To compare the diagnostic performance of conventional radiography (CR), computed tomography (CT), and magnetic resonance imaging (MRI) in classifying LSTVs.
Material And Methods: In this retrospective cross-sectional study, a total of 852 patients undergoing lumbar imaging studies using all three modalities were initially assessed for the presence of LSTV using CT scans.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!