Lumbosacral Transitional Segments : An Interventional Spine Specialist’s Practical Approach - 23/11/17

Doi : 10.1016/j.pmr.2017.08.004

Michael B. Furman, MD, MS ^a,^b,^c,^⁎ , Brady Wahlberg, DO ^a, Eduardo J. Cruz, MD ^d,^e
^a Interventional Spine and Sports Medicine Fellowship, OSS Health, 1855 Powder Mill Road, York, PA 17402, USA
^b Special Consultant, Rehabilitation Medicine, Sinai Hospital of Baltimore, Baltimore, MD, USA
^c Clinical Assistant Professor, Physical Medicine and Rehabilitation, Temple University School of Medicine, Philadelphia, PA, USA
^d Spine & Sports, Ocala Family Medical Center, 2230 SW 19th Avenue Road, Ocala, FL 34471, USA
^e Assistant Professor, Ocala Regional Medical Center, Ocala, FL, USA

^∗Corresponding author. Interventional Spine and Sports Medicine Fellowship, OSS Health, 1855 Powder Mill Road, York, PA 17402.Interventional Spine and Sports Medicine FellowshipOSS Health1855 Powder Mill RoadYorkPA17402

Résumé

The presence of a lumbosacral transitional vertebrae (LSTV) should prompt a more detailed preprocedural evaluation of the vertebral column to accurately determine spinal levels. An LSTV should prompt the use of corroborating intraprocedural imaging to verify morphology. The most important factors in treating lumbosacral transitional segments are communication among treating physicians to ensure segmental enumeration consistency and associated appropriate patient treatment.

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Keywords : Lumbosacral transitional vertebrae, Transitional segment anatomy, MRI, Lumbarized S1, Sacralized L5, Radiculopathy, Spinal stenosis, Herniated nucleus pulposis