ArticleJournal of neurosurgery. Case lessons2025
Minimally invasive full endoscopic resection of the anomalous transverse process in Bertolotti's syndrome: illustrative case.
Article in Journal of neurosurgery. Case lessons, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Unilateral biportal endoscopic spinal surgery for the treatment of Bertolotti syndrome in an adolescent, a case report.Frontiers in surgery · 2026Article
- Case Report: SPECT-CT-guided minimally invasive transverse process resection for Bertolotti syndrome.Frontiers in surgery · 2025Article
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Authors and funding
5 authors.
Funding
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Abstract
backgroundBertolotti's syndrome (BS) is characterized by anomalous enlargement of the transverse process (TP) of the most caudal lumbar vertebra, which may articulate or fuse with the sacrum or ilium. OBSERVATIONS: A 69-year-old female presented to the hospital with a chief complaint of right low back pain (LBP) during rolling over, while crouching down, and with prolonged sitting. No obvious neurological abnormality was found. Radiography and CT findings revealed that the right TP of L5 articulated with the iliac bone. The patient's pain was resistant to conservative treatment with appropriate nonsteroidal anti-inflammatory drugs over a period of approximately 9 months. A local anesthetic injection into the articulated lesion under fluoroscopic guidance led to LBP improvement, but the effect was transient. Full endoscopic spine surgery (FESS) was performed to reduce the enlargement of the TP articulated with the ilium under fluoroscopy. Postoperative CT revealed the disconnection between the TP at L5 and the ilium. LBP dramatically resolved postoperatively, and the patient was discharged home without any perioperative complications. LESSONS: FESS may be an effective treatment for patients with LBP due to minimally invasive BS. https://thejns.org/doi/10.3171/CASE25188.
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