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Bertolotti's Syndrome: A Case Report
Author(s) -
Mitra Raj,
Carlisle Mark
Publication year - 2009
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1111/j.1533-2500.2008.00253.x
Subject(s) - medicine , articulation (sociology) , pain syndrome , surgery , physical therapy , politics , political science , law
Study Design:  A case report and literature review is presented. Objective:  To review relevant data for the management of Bertolotti's syndrome and to determine whether the transverse process‐ilium articulation may be a pain generator. Background:  Bertolotti's syndrome is associated with axial low back pain secondary to arthritic changes; the pain generator in the disorder is unclear. Methods:  We present a case report of symptomatic Bertolotti's syndrome managed with intra‐articular steroid injections. Results:  A patient with Bertolotti's syndrome had significant relief of axial pain after steroid injection of the ilium‐transverse process articulation. Conclusions:  Steroid therapy may be a non‐surgical alternative for the treatment of symptomatic Bertolotti's syndrome.

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