title: Percutaneous Full Endoscopic Treatment of Bertolotti Syndrome: A Report of Three Cases with Technical Note.
abstract: BackgroundBertolotti syndrome is characterized by an abnormal enlargement of the transverse process of the most caudal lumbar vertebra. Most of the time it is asymptomatic, but when it is symptomatic it is associated with low back pain, radiating leg pain, or both. There is no consensus regarding management of this pathology. Open to minimal invasive tubular resection techniques are described in the literature, but a full endoscopic resection technique has not yet been described. Endoscopic technique is a less invasive target-oriented iliolumbar ligament preserving technique. We report our percutaneous full endoscopic technique for the treatment of symptomatic Bertolotti syndrome.MethodWe have treated three symptomatic cases of Bertolotti syndrome with the percutaneous endoscopic technique. We review the feasibility of this technique and the outcomes.ResultFull endoscopic resection of Bertolotti syndrome is feasible and safe with comparable good outcomes and the added benefits of minimal invasive surgery.ConclusionWe believe this novel percutaneous full endoscopic technique will yield good results in the hands of expert endoscopic spine surgeons and can be an alternative treatment method in cases of symptomatic Bertolotti syndrome. To our knowledge this is the first report of percutaneous full endoscopic treatment of Bertolotti syndrome in the world.
authors.affiliation: Department of Neurosurgery, Nanoori Hospital (Suwon), Suwon City, Republic of Korea.
authors.forename: Byapak
authors.initials: B
authors.lastname: Paudel
authors.affiliation: Department of Neurosurgery, Nanoori Hospital (Suwon), Suwon City, Republic of Korea.
authors.forename: Hyeun-Sung
authors.initials: HS
authors.lastname: Kim
authors.affiliation: Department of Neurosurgery, Nanoori Hospital (Suwon), Suwon City, Republic of Korea.
authors.forename: Jee Soo
authors.initials: JS
authors.lastname: Jang
authors.affiliation: Department of Neurosurgery, Nanoori Hospital (Suwon), Suwon City, Republic of Korea.
authors.forename: Jeong Hoon
authors.initials: JH
authors.lastname: Choi
authors.affiliation: Department of Neurosurgery, Nanoori Hospital (Suwon), Suwon City, Republic of Korea.
authors.forename: Sung Kyun
authors.initials: SK
authors.lastname: Chung
authors.affiliation: Department of Neurosurgery, Nanoori Hospital (Suwon), Suwon City, Republic of Korea.
authors.forename: Jung Sup
authors.initials: JS
authors.lastname: Lee
authors.affiliation: Department of Neurosurgery, Nanoori Hospital (Suwon), Suwon City, Republic of Korea.
authors.forename: Jeong Hoon
authors.initials: JH
authors.lastname: Kim
authors.affiliation: Department of Neurosurgery, Nanoori Hospital (Incheon), Incheon City, Republic of Korea.
authors.forename: Seong Hoon
authors.initials: SH
authors.lastname: Oh
authors.affiliation: Department of Neurosurgery, Nanoori Hospital, Seoul City, Republic of Korea.
authors.forename: Il Tae
authors.initials: IT
authors.lastname: Jang
mesh_terms: D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000209:etiology / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000002:abnormalities / Q000601:surgery*; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D013122:Spinal Diseases / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome