I have a Bertolotti’s Syndrome on the left side of the 5th lumbar. Doctors want to lob off this and but bone wax on it. I was wanting a dissection of the transverse process, with the end attached back on, for better balance. Can you do it this way, Plus I have other issues around the area.
First you have to have the correct diagnosis. The symptoms should be lower back pain on the articulation side. Loading of the spine should aggravate the symptoms. The MRI STIR images should “light up” at the articulation site to indicate that there is bone reactivity which can cause the pain you have. Then finally, an injection of numbing medication into the site should temporarily relieve the symptoms.
If those criteria are satisfied, then you have two choices, fuse the segment or remove the aberrant articulation (which is what is suggested). Removing the articulation has somewhat less success than fusion but is still acceptable. Fusion doesn’t generally reduce range of motion much as this should be a very stiff segment. The way to determine if it is stiff is to perform flexion/extension X-rays. Normally, this segment will have 20-25 degrees range of motion.
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.