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  • Rahenry
    Post count: 1

    Hi Doctor,

    I’ve a confirmed cased of of my Bertolotti condition being my source pain generator.

    Had an L4/5 ADR 2 years ago that has worked fantastic at eliminating that specific pain.

    After my most recent injections into the L5/S1 Sacrilized joint confirmed my BS, my neuro pain doctor has recommended i pursue surgical options. I’ve exhausted all non-surgical avenues so. I’ve a long time hesitation to spinal fusion (ala ADR) and have been looking into the resection approach.

    At a high level can you denote what resection recovery coul? be, and can a paitent be active after fully healing.

    Donald Corenman, MD, DC
    Post count: 8465

    Resection of the transverse-alar joint (Bertolotti’s syndrome) has some success and some failures. Since there is very little motion at a Bertolotti’s segment (in the nature of 1-2 degrees where normal is 20 degrees), sometimes fusion of that segment can be more successful (up to 95%). You have to be careful that the transverse-alar segment is the pain generator and not the sacroiliac joint or the local L5-S1 facet. The facet generator would matter only with a resection and not a fusion). The MRI should also confirm an inflamed segment on the STIR images on a coronal reconstruction.

    Dr. Corenman

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