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  • AvatarRahenry
    Participant
    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.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7262

    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

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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