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Complete, Sustained Resolution of Pain With Pseudoarthrectomy for Bertolotti Syndrome: A Case Report
Emanuel Narcis Husu1,2, Nirav Parekh3, Jeremy I Simon4,5
1Baylor College of Medicine, H. Ben Taub Department of Physical Medicine and Rehabilitation, Houston, TX.
Pain Medicine Case Reports
|May 7, 2025
Summary
Bertolotti syndrome, a cause of low back pain from lumbosacral transitional vertebrae, can be effectively managed. A pseudoarthrectomy provided sustained pain relief in a unique Castellvi IIa case.
Area of Science:
- Orthopedics
- Pain Management
- Radiology
Background:
- Bertolotti syndrome involves low back pain from lumbosacral transitional vertebrae.
- It remains a controversial yet significant pain generator.
- Current treatments range from imaging to surgical fusion.

