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Unsuspected reason for sciatica in Bertolotti’s syndrome

Patients with Bertolotti’s syndrome have characteristic lumbosacral anomalies and often have severe sciatica. We describe a patient with this syndrome in whom standard decompression of the affected nerve root failed, but endoscopic lumbosacral extraforaminal decompression relieved the symptoms. We suggest that the intractable sciatica in this syndrome could arise from impingement of the nerve root extraforaminally by compression caused by the enlarged transverse process

Keywords : abnormalities,complications,Decompression,Surgical,diagnostic imaging,etiology,Female,Humans,Low Back Pain,Lumbar Vertebrae,methods,Middle Aged,Nerve Compression Syndromes,Radiography,Sciatica,Spinal Nerve Roots,Spine,surgery,Syndrome,, Reason,Sciatica,Bertolotti’s, groin pain diagnosis

Date of Publication : 2011 May

Authors : Shibayama M;Ito F;Miura Y;Nakamura S;Ikeda S;Fujiwara K;

Organisation : Aichi Spine Institute, 41 Gouhigashi, Takao, Fuso-cho, Niwa-gun, Aichi 480-0102, Japan. moto@itoortho.or.jp

Journal of Publication : J Bone Joint Surg Br

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21511940

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