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CASE REPORT
Year : 2017  |  Volume : 16  |  Issue : 4  |  Page : 328-330

Evaluation and identification of lumbosacral transitional vertebra causing intractable low back pain utilizing bone single-photon emission tomography with computed tomography


Department of Nuclear Medicine, University College London Hospital, London, UK

Correspondence Address:
Khulood S Al Riyami
Department of Nuclear Medicine, University College London Hospital, 235 Euston Road, London
UK
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DOI: 10.4103/1450-1147.215495

PMID: 29033685

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The cause of low back pain due to lumbosacral transitional vertebra (LSTV) still remains a debated topic. Functional imaging with bone scintigraphy has been a valuable adjunct in its assessment; however, in recent years, the additional utility of single-photon emission tomography with computed tomography (SPECT/CT) is evolving as the imaging modality of choice in identifying range of complex lower back pain sources, leading to the provision of suitable treatment options. We present a case demonstrating a variant type of LSTV as a source of pain localized and delineated on hybrid SPECT/CT imaging treated by minimally invasive microendoscopic resection of the pseudoarticulations.


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