Clinical Pain 2020;19(2):133-137

doi:10.35827/cp.2020.19.2.133

Multimodal Treatment for Various Clinical Features in Bertolotti’s Syndrome

Dong-Ha KANG 1 ; Da-Sol KIM ; Yu-Hui WON ; Sung-Hee PARK ; Myoung-Hwan KO ; Jeong-Hwan SEO ; Gi-Wook KIM

Affiliations

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Country

Republic of Korea

Language

Korean

Abstract

Bertolotti's syndrome (BS) is a disease that should be differentiated from low back pain (LBP) in young patients. BS shows an anatomical abnormality in which elongated transverse processes of the last lumbar vertebra articulate or fuse with varying degrees to the sacrum or ilium according to radiologic findings, which is associated with the clinical feature of LBP or radiating pain. In this case report, we describe various clinical features such as a waddling gait with severe foot and triceps surae muscle pain, in addition to the typical symptom of BS such as LBP. We report the various clinical symptoms and treatment progress in this case and review the literature.