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Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
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Case Report: SPECT-CT-guided minimally invasive transverse process resection for Bertolotti syndrome
Samantha E Spellicy1, Ellen O'Callaghan1, Michael Patetta2
1Department of Neurosurgery, Duke University Hospital, Durham, NC, United States.
Frontiers in Surgery
|February 5, 2026
Summary
Lumbosacral transitional vertebrae (LSTV) can cause Bertolotti syndrome. SPECT-CT precisely located the pain source in a patient with LSTV, leading to successful minimally invasive surgery and symptom relief.
Area of Science:
- Orthopedics
- Radiology
- Pain Management
Background:
- Lumbosacral transitional vertebrae (LSTV) are common congenital anomalies.
- Bertolotti syndrome, often caused by LSTV, presents as chronic low back or radicular pain.
- Conventional imaging lacks functional information for active arthropathy in Bertolotti syndrome.
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