Bertolotti’s syndrome: Discovery in an elderly patient with persistent back pain
Location
Philadelphia, PA
Start Date
1-5-2024 1:00 PM
End Date
1-5-2024 4:00 PM
Description
Background: Bertolotti’s syndrome is a congenital disorder where a lumbosacral transitional vertebrate articulates with the iliac crest of the pelvis, often causing back pain in young adult patients. In the elderly, this condition is rarely incidentally found and may be due to extraforaminal stenosis with the iliac crest.
Case Summary: We report the unusual case of a 76-year-old with an over 20-year history of bilateral back pain that occasionally radiates into the left buttock and calf found to have L5 left-sided lumbosacral articulation incidentally on lumbar imaging among multiple levels of spinal stenosis. This patient completed conservative management and multiple procedural interventions and, overall, was able to better control his symptoms.
Conclusion: This case is an example of how Bertolotti’s syndrome should not be overlooked as a potential contributing factor to pain in the elderly population.
Embargo Period
7-3-2024
Bertolotti’s syndrome: Discovery in an elderly patient with persistent back pain
Philadelphia, PA
Background: Bertolotti’s syndrome is a congenital disorder where a lumbosacral transitional vertebrate articulates with the iliac crest of the pelvis, often causing back pain in young adult patients. In the elderly, this condition is rarely incidentally found and may be due to extraforaminal stenosis with the iliac crest.
Case Summary: We report the unusual case of a 76-year-old with an over 20-year history of bilateral back pain that occasionally radiates into the left buttock and calf found to have L5 left-sided lumbosacral articulation incidentally on lumbar imaging among multiple levels of spinal stenosis. This patient completed conservative management and multiple procedural interventions and, overall, was able to better control his symptoms.
Conclusion: This case is an example of how Bertolotti’s syndrome should not be overlooked as a potential contributing factor to pain in the elderly population.