title: Chiropractic management of a patient with low back pain and Castellvi type II lumbosacral transitional vertebrae.
abstract: OBJECTIVE
  The purpose of this study is to report the chiropractic management of a patient with low back pain and Castellvi type II lumbosacral transitional vertebrae (LSTV).
  
  
  METHODS
  A patient with previously undiagnosed LSTV presented with moderate low back pain.
  
  
  RESULTS
  Manual therapy, soft tissue therapy, and exercise/stretching were included in the initial treatment plan. Following a short course of treatment, the presenting symptoms resolved; however, they returned after 3 symptom-free months. At that time, radiographs were ordered and the LSTV were identified. Following another course of chiropractic care, the patient's symptoms resolved.
  
  
  CONCLUSIONS
  Chiropractic management resulted in resolution of symptoms for this patient with LSTV.
authors.affiliation: Chiropractor, Private Practice, Hamilton, Ontario, Canada.
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Muir
keywords: Chiropractic congenital abnormalities; Lumbar vertebrae; Lumbosacral region