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Evaluation and Identification of Lumbosacral Transitional Vertebra Causing Intractable Low Back Pain Utilizing Bone
Khulood S Al Riyami1, Suliman M Alahmed1, Ziauddin Z Saad1
1Department of Nuclear Medicine, University College London Hospital, London, UK.
Abstract:
The cause of low back pain due to lumbosacral transitional vertebra (LSTV) still remains a debated topic. Functional imaging with bone scintigraphy has been a valuable adjunct in its assessment; however, in recent years, the additional utility of single-photon emission tomography with computed tomography (SPECT/CT) is evolving as the imaging modality of choice in identifying range of complex lower back pain sources, leading to the provision of suitable treatment options. We present a case demonstrating a variant type of LSTV as a source of pain localized and delineated on hybrid SPECT/CT imaging treated by minimally invasive microendoscopic resection of the pseudoarticulations.