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Revista Colombiana de Reumatología
Print version ISSN 0121-8123
Abstract
MORENO GARCIA, Marina Soledad; DEL RIO-MARTINEZ, Pilar S.; BALTANAS RUBIO, Pablo and CIA BLASCO, Pedro. Bertolotti syndrome: report of a case. Rev.Colomb.Reumatol. [online]. 2016, vol.23, n.3, pp.200-203. ISSN 0121-8123. https://doi.org/10.1016/j.rcreu.2015.12.007.
Bertolotti's syndrome was first described in 1917. It is due to a congenital anatomical abnormality, and is defined by the presence of a transverse mega-apophysis, which entails an alteration in the lumbosacral transition. It can cause pain due to involvement of various structures: lumbosacral neo-articulation, contralateral facet arthrosis, sciatica, discogenic, or sacroiliac pain. It is characterised by low back pain, with a normal physical examination. According to some studies, the incidence is high (between 7% and 20%). Initial treatment should be conservative, while there are interventionist alternatives.
Keywords : Back pain; Alteration of lumbosacral transition; Bertolotti syndrome; Radiofrequency.