Donald Corenman, MD, DC
Post count: 8436

Before you assume that Bertolotti’s syndrome is the cause, you need to confirm this diagnosis. This is done with an articular block of the transverse-alar articulation that is the pain generator of this syndrome. If you gain 2-3 hours of relief, this can be confirmed as the pain generator.

Two ways to treat this surgically. One is to remove this articulation. I have performed this twice. One patient did very well and the other had minimal relief. I have fused this segment four times (including the failed resection patient noted above) with good results.

Dr. Corenman