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Published on: August 8, 2019
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Lumbosacral Transitional Vertebra Diagnosed on 99mTc-Methylene Diphosphonate SPECT/CT
Mohammad A Kassir1, Zaid Al-Faham2, Nicholas Abel2
1Department of Diagnostic Radiology and Molecular Imaging, Oakland University William Beaumont School of Medicine and Beaumont Health System, Royal Oak, Michigan mohammad.kassir@beaumont.edu.
Journal of Nuclear Medicine Technology
|February 7, 2015
Summary
Lumbosacral transitional vertebra (LSTV), a congenital anomaly, can cause localized lower back pain in young patients. Consider LSTV in differential diagnoses and use scintigraphy for diagnosis.
Area of Science:
- Orthopedics
- Radiology
- Anatomy
Background:
- Lumbosacral transitional vertebra (LSTV) is a congenital anomaly at the lumbosacral junction.
- The link between LSTV and back pain is debated in medical literature.
Observation:
- A patient presented with lower back pain localized to the hemisacralized left transverse process of L5.
- This specific anatomical variation of LSTV was implicated as the pain source.
Findings:
- The case highlights a potential direct correlation between LSTV anatomical variations and localized low back pain.
- Symptoms were specifically attributed to the L5 vertebral anomaly.
Implications:
- LSTV should be considered in the differential diagnosis for young individuals presenting with lower back pain.
- Scintigraphic imaging is recommended for diagnosing LSTV-associated back pain.
- This case contributes to understanding LSTV's role in pediatric and adolescent back pain.
