Operative Treatment of Bertolotti Syndrome: Resection versus Fusion

To compare the outcomes of joint resection versus fusion in patients who undergo operative treatment for Bertolotti Syndrome. A chart review identified patients with Bertolotti Syndrome who underwent operative treatment, consisting of either Bertolotti joint decompression/resection or fusion across...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:World neurosurgery 2022-09, Vol.165, p.e311-e316
Hauptverfasser: Mikula, Anthony L., Lakomkin, Nikita, Ransom, Ryan C., Flanigan, Patrick M., Waksdahl, Laura A., Pennington, Zach, Sharma, Manish S., Elder, Benjamin D., Fogelson, Jeremy L.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:To compare the outcomes of joint resection versus fusion in patients who undergo operative treatment for Bertolotti Syndrome. A chart review identified patients with Bertolotti Syndrome who underwent operative treatment, consisting of either Bertolotti joint decompression/resection or fusion across the abnormal transitional lumbosacral vertebrae. Patients with other symptomatic operative spinal disease were excluded. Twenty-seven patients (nine men, 18 women) were identified for inclusion in the study with an average age of 40 ± 16 years, BMI of 27 ± 5, and follow up of 39 ± 48 months. Most patients presented with back pain (74%) or leg pain (48%) for an average duration of 61 ± 54 months. Nineteen (70%) presented with a Castellvi subtype 2a Bertolotti joint with CT as the most common method for radiographic diagnosis (56%). When comparing long term pain improvement (>12 months) after fusion (n=9) versus joint resection (n=18), more fusion patients reported improvement in their pain (78%) compared to joint resection (28%, p=0.037). There was not a statistically significant difference in the short-term pain improvement (
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2022.06.042