Abstract
Abstract Background: The relationship between lumbosacral transitional vertebrae and low back pain is not clear. This controversy has been quite intriguing and has been the stimulus for carrying out this present study. The aim of this study was to determine, by plain radiography, if there is a relationship between lumbosacral transitional vertebrae and low back pain. Material and methods: Five hundred lumbosacral radiographs of low back pain patients were examined. Dysplastic transverse process was classified according to the Castellvi radiographic classification system. The incidence of lumbosacral transitional vertebra in patients with low back pain was reported, and the patients who had anomaly were compared according to gender and age. Results: Of these patients, 118 were classified as positive for transitional lumbosacral vertebra, resulted in an incidence of 23.6%. The most common anatomical variant was Castellvi Type IA (6.8%). No statistically significant difference was found between these two age groups according to incidence of lumbosacral transitional vertebra (p=0.207). There were no statistically significant differences between men and women who had anomaly (p=0.289). Higher incidences of Type IB and Type IIB were found in men, but those results were not statistically significant (p=0.112, p=0.514) when compared with the female group. Conclusion: Based on our data, we conclude that lumbosacral transitional segments are common in the low back pain population. But no relationship found between age and genders.
Highlights
Numerous causes have been attributed to low back pain (LBP)
Based on our data, we conclude that lumbosacral transitional segments are common in the low back pain population
Subjects without transverse process dysplasia were classified as normal (Type 0), and those with dysplastic transverse process were classified according to the Castellvi radiographic classification system11 (Table 1)
Summary
Numerous causes have been attributed to low back pain (LBP). A long list exists, but the enlistment of lumbosacral transitional vertebra (LSTV) as one of the causes has resulted in a lot of controversy. Some authors have stated that LSTV is incidentally diagnosed and has no clinical impact [7,8], whereas others claim that this anomaly may predispose patients to certain clinical disorders [9,10]. This controversy has been quite intriguing and has been the stimulus for carrying out this present study. The relationship between lumbosacral transitional vertebrae and low back pain is not clear The aim of this study was to determine, by plain radiography, if there is a relationship between lumbosacral transitional vertebrae and low back pain
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