Prevalence of Lumbosacral Transitional Vertebra in Individuals with Low Back Pain: Evaluation Using Plain Radiography and Magnetic Resonance Imaging

Asra Shaikh; Sohail Ahmed Khan; Munawar Hussain; Sadia Soomro; Hatem Adel; Syed Omair Adil; Farheen Huda; Usman Khanzada

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자료유형: 학술저널

저자정보: Asra Shaikh (Dow University of Health Sciences) Sohail Ahmed Khan (Dow University of Health Sciences) Munawar Hussain (Dow University of Health Sciences) Sadia Soomro (Dow University of Health Sciences) Hatem Adel (Dow University of Health Sciences) Syed Omair Adil (Dow University of Health Sciences) Farheen Huda (Dow University of Health Sciences) Usman Khanzada (Dow University of Health Sciences)

저널정보: 대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.11 No.6

발행연도: 2017.1

수록면: 892 - 897 (6page)

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Study Design: Descriptive cross-sectional study. Purpose: To determine the frequency of lumbosacral transitional vertebrae (LSTV) in patients with low back pain (LBP) and the role of iliolumbar ligament (ILL) origin from L5 in LSTV cases. Overview of Literature: Transitional vertebrae are developmental variants of the spine. LSTV is a common congenital abnormality, and failure to recognize this anomaly may result in serious consequences during surgery. Methods: All patients aged 11–90 years of either gender with LBP for any duration, who presented for X-ray and magnetic resonance imaging (MRI) of the lumbosacral spine, were included. X-rays of the lumbosacral spine in anteroposterior and lateral views were acquired. In addition, T1- and T2-weighted sagittal and axial MRI was performed. Images were evaluated on a workstation. Results: Of 504 patients, transitional vertebrae were observed in 75 patients (15%). Among them, 39 (52%) patients had Castellvi type III and 36 (48%) patients had Castellvi type II. However, on MRI, 42 (56%) patients had O’Driscoll type II, 18 (24%) patients had O’Driscoll type IV, and 15 patients (20%) had O’Driscoll type III. ILL origin from L5 was significantly higher (n=429, 100%) among patients with a normal lumbosacral junction than among patients with a transitional lumbosacral junction (n=22, 29.3%) (p<0.001). Conclusions: LSTV occurs at a high frequency in patients with LBP. Furthermore, in the presence of LSTV, the ILL is not a reliable marker for the identification of L5.

참고문헌 (1)

참고문헌 신청

Burton AK / 2006 / Chapter 2. European guidelines for prevention in low back pain: November 2004 / Eur Spine J 15(Suppl 2):S136~S168

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