Thank you Doctor Gorenman for your insight on the X-STOP Procedure and it’s consequence on the spinous process. Decompressing the canal sounds like a fundamental approach.
I have researched both Bertelotti and Baastrup Syndromes and I understand that rarely are these problematic. Unfortunately the pain derived from my lumbosacrial/pelvic region and it’s restriction in mobility in fact may be multifactorial.
During the growth stage of my spine the pseudoarthrosis of the transverse process to the ala of the sacrum caused what seems to be a raised sacrum with it’s enlarged sacral crest.
The diseased Facet Joints and enlarged spinous process are affected with a moderate degree of Osteochondrosis. Not only are the spinous process touching, however, multiple levels are actually slightly overlapping each other (noted in the 3D CAT SCAN study). More significantly the L5 spinous process and the medial sacrial crest are straddling each other causing the spinous process overtime to actually twist. The anomaly (Bertelotti Syndrome) with Baastrup’s Syndrome have been exasperated in a multi faceted way. Unfortunately the lumbosacrial region appears very crammed and overtime has become more problematic and pain has definitely increased.
My ignorant perspective with the X-STOP was to create additional space in between the vertebral lumbar levels and canals. In addition alleviating the bone to bone contact of the spinous process.
Doctor Corenman, will the constant bone to bone contact increase the level of Osteochondrosis and further narrow the canals making my leg issues even worse?
If a resection of the transitional articulation (transverse process) was performed do you think the drop of the sacrum could create more space for the canals and less bone to bone contact in regards to the spinous process?
How many vertebral levels were fused in the 42 degree kyphosis that you corrected and what hardware did you use?
With Thanks,
Massimo