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Bertolotti's syndrome: A commonly missed cause of back pain in young patients

Manmohan S 1 , Dzulkarnain A 2 , Nor Azlin ZA 3 , Fazir M 4

Affiliations 

  • 1 Manmohan Singh (Corresponding author) Department of Orthopaedic and Traumatology, Hospital Kuala Lumpur. Email: manmohan@hotmail.my
  • 2 Dzulkarnain Amir MD (UKM) Ms Ortho (UKM) Department of Orthopaedics and Traumatology, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia Email: drdzulamir@yahoo.com.my
  • 3 Nor Azlin Zainal Abidin MBBS (UM) Ms Ortho (UKM) Department of Orthopaedics and Traumatology, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia Email: dr.rlin2509@gmail.com
  • 4 Fazir Mohamad MD(UKM) Ms Ortho (UKM) Department of Orthopaedics and Traumatology, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia Email: fazirdr@yahoo.com
Malays Fam Physician, 2015;10(2):55-8.
PMID: 27099663

Abstract

Bertolotti's syndrome must be considered as a differential diagnosis for lower back pain in young people. Treatment, whether conservative or operative, is still debatable. In this paper, we report a case of a 20-year-old girl presenting with lower back pain for 8 years. We administered injection with local anaesthetic and steroid injections within the pseudo-articulation; however, the pain was relieved for 3 weeks. Surgical excision of the pseudo-articulation successfully treated her back pain and the sciatica.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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