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Title: Anterior pseudoarthrectomy for symptomatic Bertolotti's syndrome
Epworth Authors: Malham, Gregory
Claydon, Matthew
Brazenor, Graeme
Other Authors: Limb, Rebecca
Keywords: Pseudoarthrectomy
Bertolotti's Syndrome
Lower Back Pain
Anterior Retroperitoneal
Epworth Hospital, Richmond, Melbourne, VIC, Australia
Neurosciences Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Dec-2013
Publisher: Elsevier
Citation: J Clin Neurosci. 2013 Dec;20(12):1762-6
Abstract: Painful L5/S1 pseudoarthrosis has been previously managed with posterior excision and/or lumbar fusion. To our knowledge, the anterior approach for L5/S1 pseudoarthrectomy in the treatment of Bertolotti’s syndrome has not been described. We present two patients with severe symptomatic L5/S1 pseudoarthroses that were successfully excised via an anterior retroperitoneal approach with 2 year clinical and radiological follow-up. The literature regarding surgical treatments for Bertolotti’s syndrome is reviewed. The technique for an anterior retroperitoneal approach is described. This approach has been safe and effective in providing long term symptomatic relief to our two patients. Further studies comparing the outcomes of anterior versus posterior pseudoarthrectomy will guide the management of this condition.
DOI: 10.1016/j.jocn.2013.02.018
PubMed URL:
ISSN: 0967-5868
Journal Title: Journal of Clinical Neuroscience
Type: Journal Article
Affiliated Organisations: The Alfred Hospital, Prahran, Melbourne, VIC, Australia
Type of Clinical Study or Trial: Case reports
Appears in Collections:Neurosciences
Pain Management

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