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Lumbosacral Transitional Segments: An Interventional Spine Specialist's Practical Approach.

Michael B Furman1, Brady Wahlberg2, Eduardo J Cruz3

  • 1Interventional Spine and Sports Medicine Fellowship, OSS Health, 1855 Powder Mill Road, York, PA 17402, USA; Special Consultant, Rehabilitation Medicine, Sinai Hospital of Baltimore, Baltimore, MD, USA; Clinical Assistant Professor, Physical Medicine and Rehabilitation, Temple University School of Medicine, Philadelphia, PA, USA.

Physical Medicine and Rehabilitation Clinics of North America
|November 28, 2017
PubMed
Summary

Lumbosacral transitional vertebrae (LSTV) require careful preprocedural evaluation and intraprocedural imaging to confirm spinal levels. Consistent communication between physicians is crucial for accurate treatment of these spinal variations.

Keywords:
Herniated nucleus pulposisLumbarized S1Lumbosacral transitional vertebraeMRIRadiculopathySacralized L5Spinal stenosisTransitional segment anatomy

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Area of Science:

  • Anatomy
  • Radiology
  • Spine Surgery

Background:

  • Lumbosacral transitional vertebrae (LSTV) are common anatomical variations.
  • Inaccurate identification of spinal levels can lead to procedural complications.

Purpose of the Study:

  • To emphasize the importance of detailed preprocedural evaluation for LSTV.
  • To highlight the role of intraprocedural imaging in verifying spinal morphology.
  • To stress the necessity of physician communication for consistent segmental enumeration.

Main Methods:

  • Review of anatomical variations and their clinical implications.
  • Discussion of imaging techniques for spinal level verification.
  • Emphasis on interdisciplinary communication protocols.

Main Results:

  • LSTV presence necessitates enhanced preprocedural spinal assessment.
  • Intraprocedural imaging is vital for confirming vertebral morphology.
  • Consistent segmental enumeration is critical for patient safety.

Conclusions:

  • Accurate identification and consistent enumeration of spinal levels are paramount when LSTV are present.
  • Multidisciplinary communication ensures appropriate patient management and treatment.
  • Adherence to imaging protocols aids in preventing procedural errors.