Bertolotti's syndrome: A commonly missed cause of back pain in young patients
S Manmohan1, A Dzulkarnain2, Z A Nor Azlin3
1Manmohan Singh (Corresponding author) Department of Orthopaedic and Traumatology, Hospital Kuala Lumpur.
Abstract:
Bertolotti's syndrome must be considered as a differential diagnosis for lower back pain in young people. Treatment, whether conservative or operative, is still debatable. In this paper, we report a case of a 20-year-old girl presenting with lower back pain for 8 years. We administered injection with local anaesthetic and steroid injections within the pseudo-articulation; however, the pain was relieved for 3 weeks. Surgical excision of the pseudo-articulation successfully treated her back pain and the sciatica.
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