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Bertolotti's Syndrome Q76.49

ICD-10 Classification / Treatment
Etiology / Natural History Associated Injuries / DDx
Anatomy Complications
Clinical Evaluation Follow-up Care
Xray / Diagnositc Tests Review References


Bertolotti's Syndrome ICD-10

Bertolotti's Syndrome Etiology / Epidemiology / Natural History

  •  Transitional lumbosacral vertrebrae = Bertolotti's Syndrome
  • Present in 12%-21% of people
  • Increased risk of disk herniation at the proximal level and a possible   reduced rate of degeneration at the caudal level. 
  • Has not been consistently linked to low back pain.

Bertolotti's Syndrome Anatomy

  •  5th lumbar segment partially or entirely sacralized or first sacral segment is partially lumbarized with a perisstent caudal disk space.

Bertolotti's Syndrome Clinical Evaluation


Bertolotti's Syndrome Xray / Diagnositc Tests


Bertolotti's Syndrome Classification / Treatment

  •  Anatomic varient.  No treatment necessary

Bertolotti's Syndrome Associated Injuries / Differential Diagnosis

  • Low back pain
  • Spondylosis
  • Spondylolysis
  • Degenerative Disc Disease

Bertolotti's Syndrome Complications

Bertolotti's Syndrome Follow-up Care

  •  Anatomic varient.  No treatment necessary

Bertolotti's Syndrome Review References

  • Jenis LG editor, Low Back Pain monograph, American Academy of Orthopaedic Surgeons, 2005. ISBN 0-89203-374-6.
  • Elster A: Spine 1989;14:1373
  • Wigh R, Spine 1981;6:168





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