Bertolotti's syndrome: a case report.
METHODS
A case report and literature review is presented.


OBJECTIVE
To review relevant data for the management of Bertolotti's syndrome and to determine whether the transverse process-ilium articulation may be a pain generator.


BACKGROUND
Bertolotti's syndrome is associated with axial low back pain secondary to arthritic changes; the pain generator in the disorder is unclear.


METHODS
We present a case report of symptomatic Bertolotti's syndrome managed with intra-articular steroid injections.


RESULTS
A patient with Bertolotti's syndrome had significant relief of axial pain after steroid injection of the ilium-transverse process articulation.


CONCLUSIONS
Steroid therapy may be a non-surgical alternative for the treatment of symptomatic Bertolotti's syndrome.
Mitra
Raj
R
Interventional Spine Center, Division of Physical Medicine & Rehabilitation, Stanford University School of Medicine, 300 Pasteur Dr., Edwards Bldg., Palo Alto, California 94305, USA. rrmitra@stanford.edu
Carlisle
Mark
M
D000639:Amitriptyline / Q000031:analogs & derivatives / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000150:complications* / Q000473:pathology; D008159:Lumbar Vertebrae / Q000473:pathology*; D008875:Middle Aged; D009120:Muscle Cramp / Q000150:complications* / Q000473:pathology; D009125:Muscle Relaxants, Central / Q000627:therapeutic use; D013577:Syndrome
D000894:Anti-Inflammatory Agents, Non-Steroidal; D009125:Muscle Relaxants, Central; D000639:Amitriptyline; C004704:cyclobenzaprine