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...
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Veröffentlicht in: | World neurosurgery 2022-09, Vol.165, p.e311-e316 |
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Sprache: | eng |
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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 ( |
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ISSN: | 1878-8750 1878-8769 |
DOI: | 10.1016/j.wneu.2022.06.042 |