INTRODUCTION Lumbosacral transitional vertebra is an anatomical variation of the fifth lumbar vertebra in which an enlarged transverse process can form a joint or fusion with the sacrum or ilium. The association of that variant with low back pain and the change in the biomechanical properties of the lumbar spine is called Bertolotti's syndrome. CASE PRESENTATION We report a case of a 40-year-...

OBJECTIVES The objective of this study was to investigate the ligaments in the exit zone of lumbar foramen and describe their anatomic relationships with adjacent structures. Few studies have been reported on the ligaments of foramen and the anatomic relationships on the lumbar level. The ligament described in this study is novel since it has not been reported previously. METHODS Ten male and...

We read with great interest the contribution of Gupta et al on the lumbo-costo-vertebral syndrome (LCVS).[1] We encountered this rare anomaly in a 39 week-of-gestation female patient, who after an uncomplicated birth underwent investigation because of a left lumbar hernia, and vertebral anomalies. Imaging assay with plain radiography, revealed the presence of tenth and eleventh thoracic hemiver...

This report shows a rare case of avascular necrosis of vertebra body after insertion of interspinous device after insertion of interspinous device and its plausible cause. A 82-year-old woman presented with severe back pain for 1 week without injury. In her history, she had undergone decompression and implantation of L4-5 interspinous device for the relief of neurogenic claudication at 4 year a...

To cite: Neelakantan S, Anandarajan R, Shyam K, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016217121 DESCRIPTION A 30-year-old woman presented to the orthopaedics outpatient department with low back pain (LBP) for 4 weeks, not relieved on medications. She had no known comorbidities. On examination, there was movement restriction of the lower spine and...

Introduction: Currently, excellent three-dimensional correction can be achieved with use of segmental pedicle screw fixation in adolescent idiopathic scoliosis (AIS). In the majority of patients with major thoracic curves, selective thoracic fusion (STF) may be considered to maximize motion segment of the unfused lumbar spine. This study aimed to investigate the extent of spontaneous derotation...

Epidemiological studies have shown a relatively strong association between occupational lower back pain (LBP) and long-term exposure to vibration. However, there is limited knowledge of the impact of vibration and sedentariness on bone metabolism of the lumbar vertebra and the mechanism of bone-derived LBP. The aim of this study was to investigate the effects of vibration in forced posture (a s...