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2023, Number 2

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Rev Med UAS 2023; 13 (2)

Characterization and associated findings of transitional vertebrae of the lumbosacral spine by magnetic resonance imaging of the lumbar spine

Jiménez-De La O ER, Morales-Sánchez FF, Zatarain-Bayliss L, Rochín-Terán JL, Zavala-Castillo JM, Gutiérrez-Grijalva EP, Avendaño-Félix M, Moreno-Ortiz JM, Verdugo-Rosas A

Language: Spanish
References: 26
Page: 153-163
PDF size: 240.14 Kb.


ABSTRACT

Objective: To determine the frequency and characterization of transitional vertebrae. Method: Document analysis through analyticalsynthetic processing. Results: Currently, the frequency estimate of lumbosacral transitional vertebrae is 30% in the general population, being more relevant in young people who can be asymptomatic and begin at early ages with clinically relevant symptoms, mainly low back pain. Therefore, it is considered to be a relatively common anatomical variant, however, it is overestimated and may have clinical significance in terms of symptoms and surgical treatment if required, which may be the main cause of the patient's clinical picture. Conclusions: currently the method more sensitive and specific imaging is the magnetic resonance because it provides better anatomical aspects and determines if there are alterations beyond the transitional vertebra such as degenerative changes, especially at the transition level, helping to avoid confusion at the time of diagnosis or therapeutic procedure of the spine.


REFERENCES

  1. Gómez-Conesa A, Valbuena-Moya S. Lumbalgiacrónica y discapacidad laboral. Fisioter. 2005;27(5):255-65.

  2. Muir JM. Chiropractic management of a patientwith low back pain and Castellvi type IIlumbosacral transitional vertebrae. J ChiropMed. 2012;11(4):254-9.

  3. Matus C, Galilea E , San Martín A. Imagenologiadel dolor lumbar. Rev Chil Radiol.2003;9:62-9.

  4. Acevedo-González JC, Pérez-Rodríguez JC.Unidad lumbosacrococcígea. Desarrollo conceptual.Rev Col Ortop Traumatol.2017;31(2):55-62.

  5. Grow WA. Chapter 5 - Development of theNervous System. In: Haines DE, Mihailoff GA,editors. Fundamental Neuroscience for Basicand Clinical Applications (Fifth Edition): Elsevier;2018. p. 72-90.e1.

  6. Acevedo-González JC, Pérez-Rodríguez JC.Nuevo concepto de unidad funcional lumbosacro-coccígea-pélvica: bases teóricas y repercusiónen el análisis clínico y terapéuticode los pacientes con dolor lumbar. Rev SocEsp Dolor. 2016;23:260-8.

  7. Ebraheim NA, Hassan A, Lee M, Xu R. Functionalanatomy of the lumbar spine. Sem PainMed. 2004;2(3):131-7.

  8. Lee CH, Park CM, Kim KA, Hong SJ, Seol HY,Kim BH, et al. Identification and prediction oftransitional vertebrae on imaging studies: anatomicalsignificance of paraspinal structures.Clin Anat. 2007;20(8):905-14.

  9. DeSai C, Reddy V, Agarwal A. Anatomy, Back,Vertebral Column. StatPearls. Treasure Island(FL) ineligible companies. Disclosure:Vamsi Reddy declares no relevant financial relationshipswith ineligible companies. Disclosure:Amit Agarwal declares no relevant financialrelationships with ineligible companies. InStatPearls Publishing Copyright © 2023,StatPearls Publishing LLC.; 2023.

  10. Delport EG, Cucuzzella TR, Kim N, Marley J,Pruitt C, Delport AG. Lumbosacral transitionalvertebrae: incidence in a consecutive patientseries. Pain Physic. 2006;9(1):53-6.

  11. Hughes RJ, Saifuddin A. Numbering of lumbosacraltransitional vertebrae on MRI: role of theiliolumbar ligaments. AJR Am J Roentgenol.2006;187(1):W59-65.

  12. Apazidis A, Ricart PA, Diefenbach CM, SpivakJM. The prevalence of transitional vertebrae inthe lumbar spine. Spine J. 2011;11(9):858-62.

  13. Pekindil G, Sarikaya A, Pekindil Y, Gültekin A,Kokino S. Lumbosacral transitional vertebralarticulation: evaluation by planar and SPECTbone scintigraphy. Nuclear Med Commun.2004;25(1):29-37.

  14. Almeida DB, Mattei TA, Sória MG, PrandiniMN, Leal AG, Milano JB, et al. Transitionallumbosacral vertebrae and low back pain:diagnostic pitfalls and management of Bertolotti'ssyndrome. Arq Neuro-psiquiat.2009;67(2a):268-72.

  15. Lian J, Levine N, Cho W. A review of lumbosacraltransitional vertebrae and associatedvertebral numeration. Europ Spine J.2018;27(5):995-1004.

  16. Brault JS, Smith J, Currier BL. Partial lumbosacraltransitional vertebra resection for contralateralfacetogenic pain. Spine.2001;26(2):226-9.

  17. Bron JL, van Royen BJ, Wuisman PI. The clinicalsignificance of lumbosacral transitionalanomalies. Act Orthop Belgica.2007;73(6):687-95.

  18. Jancuska JM, Spivak JM, Bendo JA. A Reviewof Symptomatic Lumbosacral Transitional Vertebrae:Bertolotti's Syndrome. Int J SpineSurg. 2015;9:42.

  19. Farshad-Amacker NA, Herzog RJ, HughesAP, Aichmair A, Farshad M. Associations betweenlumbosacral transitional anatomy typesand degeneration at the transitional and adjacentsegments. Spine J. 2015;15(6):1210-6.

  20. Mahato NK. Redefining lumbosacral transitionalvertebrae (LSTV) classification: Integratingthe full spectrum of morphological alterationsin a biomechanical continuum. Med Hypot.2013;81(1):76-81.

  21. Konin GP, Walz DM. Lumbosacral transitionalvertebrae: classification, imaging findings, andclinical relevance. AJNR Am J Neuroradol.2010;31(10):1778-86.

  22. Fardon DF, Milette PC. Nomenclature andclassification of lumbar disc pathology. Recommendationsof the Combined task Forcesof the North American Spine Society, AmericanSociety of Spine Radiology, and AmericanSociety of Neuroradiology. Spine.2001;26(5):E93-e113.

  23. Apaydin M. Tethered cord syndrome and transitionalvertebrae. Surg Radiol Anat.2020;42(2):111-9.

  24. Farshad-Amacker NA, Lurie B, Herzog RJ,Farshad M. Interreader and intermodality reliabilityof standard anteroposterior radiographand magnetic resonance imaging in detectionand classification of lumbosacral transitionalvertebra. Spine J. 2014;14(8):1470-5.

  25. Ahn S-S, Chin D-K, Kim S-H, Kim D-W, Lee BH,Ku M-G. The Clinical Significance of LumbosacralTransitional Vertebrae on the SurgicalOutcomes of Lumbar Discectomy: A RetrospectiveCohort Study of Young Adults.World NeurosurG. 2017;99:745-50.

  26. Aihara T, Takahashi K, Ogasawara A, ItaderaE, Ono Y, Moriya H. Intervertebral disc degenerationassociated with lumbosacral transitionalvertebrae: a clinical and anatomical study.J Bone Joint Surg British Vol. 2005;87(5):687-91.




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