Transitional Anatomy Lumbar Spine
Lumbosacral transitional vertebrae in the lower back are sometimes associated with back pain however. The lumbar spine is responsible for supporting the lower back.
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The normal number of vertebrae in the lower back or lumbar spine is 5.
Transitional anatomy lumbar spine. The lack of mobility at a fused transitional level or the decreased mobility at a partially fused or anomalously articulating vertebra lends stabilization to this level. However given the large field of view and increased section thickness of these localizers they still commonly do not pro vide enough reliable anatomic information to consistently number the segments of the lumbar spine correctly. Some types of arthritis spinal disk disorders and painful compression of the spinal cord may also be correlated with abnormal vertebrae at the lumbosacral junction.
Instead the vertebral body takes on characteristics of both typical lumbar and sacral spinal bones. Lumbosacral transitional vertebrae lstvs are a congenital vertebral anomaly of the l5 s1 junction in the spine. Lumbosacral transitional vertebrae lstv are a relatively common variant and can be seen in 25 range 15 35 of the general population 1 3.
This alteration may contribute to incorrect identification of a vertebral segment leading to wrong level spine surgery and poor correlation with clinical symptoms. A transitional lumbosacral vertebrae is condition that occurs when the last vertebrae in the spine is improperly formed. It creates a situation where the number of vertebrae in the lower back is either increased by one or decreased by one.
Transitional vertebrae likely affect the normal biomechanics of the lumbar spine. Non recognition of this variant andor poor description in the report can lead to operations or procedures performed at the wrong level. Most common their importance stems both because the altered anatomy can be symptomatic eg.
Enumerating lumbosacral transitional vertebrae13 because it allows better differentiation at the thoracolumbar junction. But does not truly represent either variety in totality. Lumbosacral transitional vertebra.
The phylogenetic category of the spine must be known and junctional transitional vertebrae within the column pr correct dermatome identification is essential to reduce nomenclature and surgical errors to improve neurologic correlation and to produce accurate statistics regarding low back problems. A transitional vertebra is a somewhat common lumbosacral spinal abnormality in which one spinal bone does not form correctly and definitively as a lumbar segment or a sacral segment. Cervical rib causing thoracic outlet syndrome or because they can lead to confusion when describing findings and thus lead to an incorrect level operation.
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