pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMU10.34215/1609-1175-2023-2-9-14pmj-2509Research ArticleОБЗОРЫREVIEWSОбзор современных методов лечения боли у пациентов c переходными пояснично-крестцовыми позвонкамиReview of current pain management in patients with lumbosacral transitional vertebraehttps://orcid.org/0000-0002-4128-6127СкрябинЕ. Г.SkryabinE. G.

Скрябин Евгений Геннадьевич – доктор медицинских наук, профессор кафедры травматологии и ортопедии.

625023, Тюмень, ул. Одесская, 54

Evgeny G. Skryabin - DM, prof. of the Department of Traumatology and Orthopedics.

54 Odesskaya St., Tyumen, 625023

skryabineg@mail.ruРоманенкоД. А.RomanenkoD. A.

Тюмень

Tyumen

ЕвстроповаЮ. В.EvstropovaYu. V.

Тюмень

Tyumen

НазароваА. С.NazarovaA. S.

Тюмень

Tyumen

Тюменский государственный медицинский университетРоссияTyumen State Medical UniversityRussian Federation20231306202302914Copyright © Скрябин Е.Г., Романенко Д.А., Евстропова Ю.В., Назарова А.С., 20232023Скрябин Е.Г., Романенко Д.А., Евстропова Ю.В., Назарова А.С.Skryabin E.G., Romanenko D.A., Evstropova Y.V., Nazarova A.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tmj-vgmu.ru/jour/article/view/2509

Купирование болевого синдрома у пациентов с переходными пояснично-крестцовыми позвонками проводят с помощью консервативных и оперативных методов. К первым относят приемы традиционной восточной медицины, мануальную терапию, физиотерапевтические процедуры, лечебные медикаментозные блокады. Объем оперативных вмешательств включает резекцию зоны псевдоартроза, малоинвазивную эндоскопическую хирургию, радиочастотную абляцию, межтеловой спондилодез. В статье приведены ближайшие и в некоторых случаях отдаленные результаты лечения, возникающие при этом причины неудовлетворительных исходов и осложнений. Актуальность проблемы обусловлена не только значительной распространенностью переходных пояснично-крестцовых позвонков в популяции, но и отсутствием единых, общепринятых алгоритмов в выборе индивидуальной лечебной тактики, учитывающей анамнез, возраст пациентов, сопутствующие дистрофические изменения вышерасположенных позвоночно-двигательных сегментов.

Pain in patients with transitional lumbosacral vertebrae is managed with surgical and non-surgical treatment. The non-surgical treatment involves techniques of traditional oriental medicine, manual therapy, physiotherapeutic procedures, and pharmacological blockade. Surgical interventions include resection of the pseudarthrosis, minimally invasive endoscopic surgery, radiofrequency ablation, and interbody fusion. The paper presents immediate and, in some cases, long-term outcomes, the causes of unsatisfactory outcomes and complications. The relevance of the study stems from the high prevalence of lumbosacral transitional vertebrae in the population, and, moreover, the lack of unified, generally accepted algorithms in choosing individual treatment, based on the history of patients, their age, as well as concomitant dystrophic changes of the superior spinal motion segments.

переходные пояснично-крестцовые позвонкибольметоды леченияlumbosacral transitional vertebraepainmethods of treatmentавторы заявляют о проведении исследования из собственных средствReferencesВышлова И.А., Карпов С.М., Раевская А.И., Реверчук И.В. Реабилитация пациентов с хронической болью в нижней части спины. Журнал неврологии и психиатрии имени С.С. Корсакова. 2022;122(6):14–9. doi: 10.17116/jnevro202212206114Vyshlova IA, Karpov SM, Raevskaya AI, Reverchuk IV. Rehabilitation of patients with chronic low back pain. S.S. Korsakov Journal of Neurology and Psychiatry. 2022;122(6):14–9 (In Russ.). doi: 10.17116/jnevro202212206114Dhanjani S, Altaleb M, Marqalit A, Puvanesrajah V, Jain A. Pediatric Back Pain Associated with Bertolotti Syndrome: A Report of 3 Cases with Varying Treatment Strategies. JBJS Case Connect. 2021;11(4):2100068. doi: 10.2106/JBJS.CC.21.00068Dhanjani S, Altaleb M, Marqalit A, Puvanesrajah V, Jain A. Pediatric Back Pain Associated with Bertolotti Syndrome: A Report of 3 Cases with Varying Treatment Strategies. JBJS Case Connect. 2021;11(4):2100068. doi: 10.2106/JBJS.CC.21.00068Скрябин Е.Г. Сакрализация позвонка LV (синдром Бертолотти): обзор литературы. Гений ортопедии. 2022;28(5):726–33. doi: 10.18019/1028-4427-2022-28-5-726-733Skryabin EG. Sacralization of the LV vertebra (Bertolotti syndrome): a literature review. Orthopedic Genius. 2022;28(5):726–33 (In Russ.). doi: 10.18019/1028-4427-2022-28-5-726-733Johnson ZD, Aoun SG, Ban VS, El Ahanadieh TY, KaTha B, Wolfe C, Adogwa O, Bayly CA, Al Tamimi M. Bertolotti syndrome With Articulated L5 Transverse Process Causing Intractable Back Pain: Surgical Video Showcasing a Minimally Invasive Approach for Disconnection: 2-Dimensional Operative Video. Oper Neurosurg. 2021;20(3):219–20. doi: 10.1093/ons/opaa343Johnson ZD, Aoun SG, Ban VS, El Ahanadieh TY, KaTha B, Wolfe C, Adogwa O, Bayly CA, Al Tamimi M. Bertolotti syndrome With Articulated L5 Transverse Process Causing Intractable Back Pain: Surgical Video Showcasing a Minimally Invasive Approach for Disconnection: 2-Dimensional Operative Video. Oper Neurosurg. 2021;20(3):219–20. doi: 10.1093/ons/opaa343Ashour A, Hassan A, Aly M, Nafady MA. Prevalence of Bertolotti›s Syndrome in Lumbosacral Surgery Procedures. Cureus. 2022;14(6):26341. doi: 10.7759/cureus.26341Ashour A, Hassan A, Aly M, Nafady MA. Prevalence of Bertolotti›s Syndrome in Lumbosacral Surgery Procedures. Cureus. 2022;14(6):26341. doi: 10.7759/cureus.26341Castellvi AE, Goldstein LA, Chan DP. Lumbosacral transitional vertebrae and their relationship with lumbar V extradural defects. Spine.1984;9:493–5. doi: 10.1097/00007632-198407000-00014Castellvi AE, Goldstein LA, Chan DP. Lumbosacral transitional vertebrae and their relationship with lumbar V extradural defects. Spine.1984;9:493–5. doi: 10.1097/00007632-198407000-00014Ju CI, Kim SW, Kim JG, Lee SM, Shin H, Lee HY. Decompressive L5 Transverse Processectomy for Bertolotti's Syndrome: A Preliminary Study. Pain Physician. 2017;20(6):923–32Ju CI, Kim SW, Kim JG, Lee SM, Shin H, Lee HY. Decompressive L5 Transverse Processectomy for Bertolotti's Syndrome: A Preliminary Study. Pain Physician. 2017;20(6):923–32Park MK, Son SK, Park WW, Choi SH, Jung DY, Kim DH. Unilataral Biportal Endoscopy for Decompression of Extra foraminal Stenosis at the Lumbosacral Junction: Surgical Techniques and Clinical Outcomes. Neurospine. 2021;18(4):871–9. doi: 10.14245/ns.2142146.073Park MK, Son SK, Park WW, Choi SH, Jung DY, Kim DH. Unilataral Biportal Endoscopy for Decompression of Extra foraminal Stenosis at the Lumbosacral Junction: Surgical Techniques and Clinical Outcomes. Neurospine. 2021;18(4):871–9. doi: 10.14245/ns.2142146.073McGrath K.A., Thompson N.R., Fisher E., Kanasz J., Golubovsky J.L., Steinmetz M.P. Quality-of-life and postoperative satisfaction following pseudoarthrectomy in patients with Bertolotti syndrome. Spine J. 2022;22(8):1292–300. doi: 10.1016/j.spinee.2022.02.010McGrath K.A., Thompson N.R., Fisher E., Kanasz J., Golubovsky J.L., Steinmetz M.P. Quality-of-life and postoperative satisfaction following pseudoarthrectomy in patients with Bertolotti syndrome. Spine J. 2022;22(8):1292–300. doi: 10.1016/j.spinee.2022.02.010Crane J, Cragon R, O›Niel R, Berger AA, Kassem H, Sherman WF, Paladini A, Varrassi G, Odisho AS, Mirigala S, Kaye AD. A Comprehensive Update of the Treatment and Management of Bertolrtti›s Syndrome: A Best Practices Review. Orthop Rev. 2021;13(2):24980. doi: 10.52965.001с.24980Crane J, Cragon R, O›Niel R, Berger AA, Kassem H, Sherman WF, Paladini A, Varrassi G, Odisho AS, Mirigala S, Kaye AD. A Comprehensive Update of the Treatment and Management of Bertolrtti›s Syndrome: A Best Practices Review. Orthop Rev. 2021;13(2):24980. doi: 10.52965.001с.24980Iwasaki M, Akiyma M, Koyanagi I, Niiya Y, Ihara T, Houkin K. Double Cruch of L5 Spinal Nerve Root due to L4/L5 Lateral Recess Stenosis and Bony Spur Formation of Lumbosacral Transitional Vertebra Pseudoarticulation: A Case Report and Review. NMC Case Rep J. 2017;4(4):121–5. doi: 10.2176/nmccrj. cr.2016-0308Iwasaki M, Akiyma M, Koyanagi I, Niiya Y, Ihara T, Houkin K. Double Cruch of L5 Spinal Nerve Root due to L4/L5 Lateral Recess Stenosis and Bony Spur Formation of Lumbosacral Transitional Vertebra Pseudoarticulation: A Case Report and Review. NMC Case Rep J. 2017;4(4):121–5. doi: 10.2176/nmccrj. cr.2016-0308Kikuchi K, Abe E, Miyakoshi T, Abe T, Hongo M, Shimada Y. Anterior decompression for faut-out syndrome below a transitional vertebra: a report of two cases. Spine J. 2013;13(8):21–5. doi: 10.1016/j.spinee.2013.02.033Kikuchi K, Abe E, Miyakoshi T, Abe T, Hongo M, Shimada Y. Anterior decompression for faut-out syndrome below a transitional vertebra: a report of two cases. Spine J. 2013;13(8):21–5. doi: 10.1016/j.spinee.2013.02.033Porter NA, Lalam RK, Tins BJ, Tyrrell PNM, Cassar-Pullicino VN. Prevalence of extra foraminal nerve root compression below lumbosacral transitional vertebrae. Skeletal Radiol. 2014;43(1):55–60. doi: 10.1007/s00256-013-1750-0Porter NA, Lalam RK, Tins BJ, Tyrrell PNM, Cassar-Pullicino VN. Prevalence of extra foraminal nerve root compression below lumbosacral transitional vertebrae. Skeletal Radiol. 2014;43(1):55–60. doi: 10.1007/s00256-013-1750-0Deepa TK, John MK. Study of the lumbalization of the first sacrilate vertebra at the Southern Indians. Intern J Med Res Health Sci. 2014;3(1):1–4. doi: 10.58958/j.2319-5886.3.1.001Deepa TK, John MK. Study of the lumbalization of the first sacrilate vertebra at the Southern Indians. Intern J Med Res Health Sci. 2014;3(1):1–4. doi: 10.58958/j.2319-5886.3.1.001Han J, Park B, Son J, Lee N, Kang D, Min T, Ahn J, Lee H, Lee H, Ji Y, Cho S, Lee S, Kim H. Effects of Korean Medicine Treatment for a Patient with Lumbar Radiculopathy Diasgnosed with Bertolotti's Syndrome: A Case Report. J Korean Med Rahabil. 2021;31(4):203–10. doi: 10.18325/jkmr.2021.31.4.203Han J, Park B, Son J, Lee N, Kang D, Min T, Ahn J, Lee H, Lee H, Ji Y, Cho S, Lee S, Kim H. Effects of Korean Medicine Treatment for a Patient with Lumbar Radiculopathy Diasgnosed with Bertolotti's Syndrome: A Case Report. J Korean Med Rahabil. 2021;31(4):203–10. doi: 10.18325/jkmr.2021.31.4.203Kim MH, Bae YH, Kim HS, Kim HS, Kim JY, Kim SY, Lee SG. The clinical report of the chronic HIVD patient with sacralization treated with quadrates lumborum MST (motion style treatment). The Journal of Korea CHUNA Manual Medicine for Spine and Nerves. 2014;9(2):11–9.Kim MH, Bae YH, Kim HS, Kim HS, Kim JY, Kim SY, Lee SG. The clinical report of the chronic HIVD patient with sacralization treated with quadrates lumborum MST (motion style treatment). The Journal of Korea CHUNA Manual Medicine for Spine and Nerves. 2014;9(2):11–9.Oh MJ. Effect of bee venom pharmacopuncture complex therapy on lumbar spinal stenosis with lumbosacral transitional vertebrae. Journal of Sports Korean Medicine & Clinical Pharmacopuncture. 2012;12(1):47–55.Oh MJ. Effect of bee venom pharmacopuncture complex therapy on lumbar spinal stenosis with lumbosacral transitional vertebrae. Journal of Sports Korean Medicine & Clinical Pharmacopuncture. 2012;12(1):47–55.Brenner AK. Use of lumbosacral region manipulation and therapeutic exercises for a patient with a lumbosacral transitional vertebra and low back pain. J Orthop Sports Phys Ther. 2005;35(6):368–76. doi: 10.2519/jospt.2005.35.6.368Brenner AK. Use of lumbosacral region manipulation and therapeutic exercises for a patient with a lumbosacral transitional vertebra and low back pain. J Orthop Sports Phys Ther. 2005;35(6):368–76. doi: 10.2519/jospt.2005.35.6.368Юлин В.С., Шпагин М.В., Колесников М.В. Синдром Бертолотти. Трудный пациент. 2020;18(3):13–6. [Yulin V.S., Shpagin M.V., Kolesnikov M.V. Bertolotti syndrome. Difficult patient. 2020;18(3):13–6 (In Russ)]. doi: 10.24411/2074-1995-2020-10012Yulin V.S., Shpagin M.V., Kolesnikov M.V. Bertolotti syndrome. Difficult patient. 2020;18(3):13–6 (In Russ). doi: 10.24411/2074-1995-2020-10012Glemarec J, Varin S, Cozic C, Tanguy G, Volteau C, Montigny P, Le Goff B, Darrieutort Laffite C, Maugars Y. Cormier G. Efficacy of local glucocorticoid after local anesthetic in low back pain with lumbosacral transitional vertebra: A randomized placebocontrolled double-blind trial. Joint Bone Spine. 2018;85(3):359– 63.doi: 10.1016/j.jbspin.2017.05.003Glemarec J, Varin S, Cozic C, Tanguy G, Volteau C, Montigny P, Le Goff B, Darrieutort Laffite C, Maugars Y. Cormier G. Efficacy of local glucocorticoid after local anesthetic in low back pain with lumbosacral transitional vertebra: A randomized placebocontrolled double-blind trial. Joint Bone Spine. 2018;85(3):359– 63.doi: 10.1016/j.jbspin.2017.05.003Celenlioglu AE, Sensan S, Bilim S, Sansar M, Gunduz OH. Comparison of Caudal Versus Transforaminal Epidural Steroid Injection in Post Lumbar Surgery Syndrome After Single-level Discectomy: A Prospective Randomizid Trial. Pain Physician. 2022;25(2):161–9.Celenlioglu AE, Sensan S, Bilim S, Sansar M, Gunduz OH. Comparison of Caudal Versus Transforaminal Epidural Steroid Injection in Post Lumbar Surgery Syndrome After Single-level Discectomy: A Prospective Randomizid Trial. Pain Physician. 2022;25(2):161–9.Golubovsky JL, Momin A, Thompson NR, Steinmetz MP. Understanding quality of life and treatment history of patients with Bertolotty syndrome compated with lumbosacral radiculopathy. J Neurosurg Spine.2019;19:1–7.doi: 10.3171/2019.2.SPINE1953Golubovsky JL, Momin A, Thompson NR, Steinmetz MP. Understanding quality of life and treatment history of patients with Bertolotty syndrome compated with lumbosacral radiculopathy. J Neurosurg Spine.2019;19:1–7.doi: 10.3171/2019.2.SPINE1953Yousif S, Wood M. Minimally invasive resection of lumbosacral pseudojoint resulting in complete resolution of a lower back pain – A case report and review of Bertolotti syndrome. J Clin Neurosci. 2018;51:67–8. doi: 10.1016/j.jocn.20187.02.006Yousif S, Wood M. Minimally invasive resection of lumbosacral pseudojoint resulting in complete resolution of a lower back pain – A case report and review of Bertolotti syndrome. J Clin Neurosci. 2018;51:67–8. doi: 10.1016/j.jocn.20187.02.006Chang C.-J., Chiu Y.-P., Ji H.-R., Chu C.-H., Chiu C.-D. Surgi cal interventions for Bertollotti syndrome: a clinical case and a review of unsatisfactory cases in the literature. BMC Surg. 2022;22(1):36. doi: 10.1186/s12893-022-01498-yChang C.-J., Chiu Y.-P., Ji H.-R., Chu C.-H., Chiu C.-D. Surgi cal interventions for Bertollotti syndrome: a clinical case and a review of unsatisfactory cases in the literature. BMC Surg. 2022;22(1):36. doi: 10.1186/s12893-022-01498-yBabu H, Lagman C, Kim TT, Grade M, Johnson JP, Drazin D. Intraoperative navigation-guided resection of anomalous transverse processes in patients with Bertolotti’s syndrome. Surg Neurol Int. 2017;8:236. doi: 10.4103/sni.sni_173_17Babu H, Lagman C, Kim TT, Grade M, Johnson JP, Drazin D. Intraoperative navigation-guided resection of anomalous transverse processes in patients with Bertolotti’s syndrome. Surg Neurol Int. 2017;8:236. doi: 10.4103/sni.sni_173_17Li Y, Lubelski D, Abdullah KG, Mroz TE, Steinmetz MP. Minimally invasive tubular resection of the anomalous transverse process in patients with Bertolotti's syndrome: presented at the 2013 Joint Spine Section Meeting: clinical article. J Neurosurg Spine. 2014;20(3):283–90. doi: 10.3171/2013.11.SPINE13132Li Y, Lubelski D, Abdullah KG, Mroz TE, Steinmetz MP. Minimally invasive tubular resection of the anomalous transverse process in patients with Bertolotti's syndrome: presented at the 2013 Joint Spine Section Meeting: clinical article. J Neurosurg Spine. 2014;20(3):283–90. doi: 10.3171/2013.11.SPINE13132Cuenca C, Bataille J, Chouilem M, Ballouhey Q, Fourcade L, Marcheix PC. Bertolotti’s syndrome in children: From low-back pain to surgery. A case report. Neurochirurgie. 2019;65(6):421–4. doi: 10.1016/j.neuchi.2019.06.004Cuenca C, Bataille J, Chouilem M, Ballouhey Q, Fourcade L, Marcheix PC. Bertolotti’s syndrome in children: From low-back pain to surgery. A case report. Neurochirurgie. 2019;65(6):421–4. doi: 10.1016/j.neuchi.2019.06.004Kawtharani S, Bsat SA, El Housheimg M, Moussalem C, Halaoui A, Sunna T. A case of Bertolotti's syndrome as a cause of sciatica. Surg Neurol Int. 2021;12:516. doi: 10.25259/SNI_756_2021Kawtharani S, Bsat SA, El Housheimg M, Moussalem C, Halaoui A, Sunna T. A case of Bertolotti's syndrome as a cause of sciatica. Surg Neurol Int. 2021;12:516. doi: 10.25259/SNI_756_2021Louie CE, Hong J, Bauer DF. Surgical management of Bertolott’s syndrome in two adolescents and literature review. Surg Neurol Int. 2019;10:135. doi: 10.25259/SNI-305-2019Louie CE, Hong J, Bauer DF. Surgical management of Bertolott’s syndrome in two adolescents and literature review. Surg Neurol Int. 2019;10:135. doi: 10.25259/SNI-305-2019Dhanjani S, Altaleb M, Marqalit A, Puvanesrajah V, Jain A. Pediatric Back Pain Associated with Bertolotti Syndrome: A Report of 3 Cases with Varying Treatment Strategies. JBJS Case Connect. 2021;11(4):2100068. doi: 10.2106/JBJS.CC.21.00068Dhanjani S, Altaleb M, Marqalit A, Puvanesrajah V, Jain A. Pediatric Back Pain Associated with Bertolotti Syndrome: A Report of 3 Cases with Varying Treatment Strategies. JBJS Case Connect. 2021;11(4):2100068. doi: 10.2106/JBJS.CC.21.00068Sumarriva G, Cook B, Celestre P. Surgical Resection of Bertolotti Syndrome. Ochsner J. 2022;22(1):76–9. doi: 10.31486/toj.20.0012Sumarriva G, Cook B, Celestre P. Surgical Resection of Bertolotti Syndrome. Ochsner J. 2022;22(1):76–9. doi: 10.31486/toj.20.0012Takata Y, Sakai T, Higashino K, Goda Y, Mineta K, Sugiura K, Sairyo K. Minimaly Invasive Microendoscopic Resection of the Transverse Process for Treatment of Low Back Pain with Bertolott's Syndrome. Case Rep Othop. 2014;2014:613971. doi: 10.1155/2014/613971Takata Y, Sakai T, Higashino K, Goda Y, Mineta K, Sugiura K, Sairyo K. Minimaly Invasive Microendoscopic Resection of the Transverse Process for Treatment of Low Back Pain with Bertolott's Syndrome. Case Rep Othop. 2014;2014:613971. doi: 10.1155/2014/613971Pandel B, Kim H.-S., Jang JS, Choi JH, Chung SK, Lee JS, Kim JH, Oh SH, Jang IT. Percutaneus Full Endoscopic Treatment of Bertolotti Syndrome: A Report of Tree Cases with Technical Note. J Neurol Surg A Cent Eur Neurosurg. 2017;78(6):566–71. doi: 10.1055/s0037-1598173Pandel B, Kim H.-S., Jang JS, Choi JH, Chung SK, Lee JS, Kim JH, Oh SH, Jang IT. Percutaneus Full Endoscopic Treatment of Bertolotti Syndrome: A Report of Tree Cases with Technical Note. J Neurol Surg A Cent Eur Neurosurg. 2017;78(6):566–71. doi: 10.1055/s0037-1598173Heo DH, Sharma S, Park CK. Endoscopic Treatment of Extraforaminal Entrapment of L5 Nerve Root (Far Out Syndrome) by Unilateral Biportal Endoscopic Approach: Technical Report and Preliminary Clinical Results. Neurospine. 2019;16(1):130–7. doi: 10.14245/ns.1938026.013Heo DH, Sharma S, Park CK. Endoscopic Treatment of Extraforaminal Entrapment of L5 Nerve Root (Far Out Syndrome) by Unilateral Biportal Endoscopic Approach: Technical Report and Preliminary Clinical Results. Neurospine. 2019;16(1):130–7. doi: 10.14245/ns.1938026.013Wu PH, Sebastian M, Kim HS, Heng GTY. How I do? Uniportal full endoscopic pseudoartrosis release of left L5-S1 Bertolotti's Syndrome under intraoperative computer tomographic guidance in an ambulatory setting. Acta Neurochir. 2021;163(10):2789–95. doi: 10.1007/s00701-021-04975-0Wu PH, Sebastian M, Kim HS, Heng GTY. How I do? Uniportal full endoscopic pseudoartrosis release of left L5-S1 Bertolotti's Syndrome under intraoperative computer tomographic guidance in an ambulatory setting. Acta Neurochir. 2021;163(10):2789–95. doi: 10.1007/s00701-021-04975-0Vargas-Moreno A., Diaz-Orduz R., Berbeo-Calderon M. Venous anatomy of the lumbar region applied to anterior lumbar interbody fusion (ALIF): Proposal of a new classification. NASSJ.2021;7:100078. doi: 10.1016/j.xnsj.2021.100078Vargas-Moreno A., Diaz-Orduz R., Berbeo-Calderon M. Venous anatomy of the lumbar region applied to anterior lumbar interbody fusion (ALIF): Proposal of a new classification. NASSJ.2021;7:100078. doi: 10.1016/j.xnsj.2021.100078Weiner BK, Walker M, Fraser RD. Vascular anatomy anterior to lumbosacral transitional vertebrae and implications for anterior lumbar interbody fusion. Spine J. 2001;1(6):442–4. doi: 10.1016/S1529-9430(01)00126-7Weiner BK, Walker M, Fraser RD. Vascular anatomy anterior to lumbosacral transitional vertebrae and implications for anterior lumbar interbody fusion. Spine J. 2001;1(6):442–4. doi: 10.1016/S1529-9430(01)00126-7Kanematsu R, Hanikita J, Takanashi T, Tomita Y, Minami M. Pulsed Radiofreguency Treatment for Bertolott's Syndrome Presenting With Low Back Pain: Report of Four Cases. Pain Pract. 2020;20(5):568–70. doi: 10.1111/parp.12877Kanematsu R, Hanikita J, Takanashi T, Tomita Y, Minami M. Pulsed Radiofreguency Treatment for Bertolott's Syndrome Presenting With Low Back Pain: Report of Four Cases. Pain Pract. 2020;20(5):568–70. doi: 10.1111/parp.12877Burnham R. Radiofreguence Sensory Ablation as a Treatment for Symptomatic Unilateral Lumbosacral Junction Pseudarticulation (Bertolotti’s Syndrome): A Case Report. Pain Medicine. 2010;11(6):853–5. doi: 10.1111/j.1526-4637.2010.00869.xBurnham R. Radiofreguence Sensory Ablation as a Treatment for Symptomatic Unilateral Lumbosacral Junction Pseudarticulation (Bertolotti’s Syndrome): A Case Report. Pain Medicine. 2010;11(6):853–5. doi: 10.1111/j.1526-4637.2010.00869.xТкаченко В.Д., Портнягин И.В., Горячева К.В. Эффективность и продолжительность действия радиочастотной денервации фасеточных суставов при боли в нижней части спины. Российский журнал боли. 2021;19(2):27–32. doi: 10.17116/pain20211902127Tkachenko VD, Portnyagin IV, Goryacheva KV. Efficacy and duration of radiofrequency facet joint denervation for low back pain. Russian Journal of Pain. 2021;19(2):27–32 (In Russ.). doi: 10.17116/pain20211902127Алейник А.Я., Млявых С.Г., Qurechi S. Латеральный косой (препсоас) доступ при выполнении поясничного спондилодеза (обзор). Современные технологии в медицине. 2021;13(5):70–82. doi: 10.17691/stm2021.13.5.09Aleinik AYa, Mlyavykh SG, Qurechi S. Lateral oblique (prepsoas) approach for lumbar fusion (review). Modern Technologies in Medicine. 2021;13(5):70–82 (In Russ.). doi: 10.17691/stm2021.13.5.09Hou L, Bai X, Li H, Cheng S, Wen T, He Q, Ruan D. «Asquired» Type Castellvi IIIa Lumbalization Transformed From Castellvi IIa Following Discectomy and Fusion at Lumbosacral Level: A Case Report. Spine. 2018;43(22):1364–7. doi: 10.1097/BRS.0000000000002711Hou L, Bai X, Li H, Cheng S, Wen T, He Q, Ruan D. «Asquired» Type Castellvi IIIa Lumbalization Transformed From Castellvi IIa Following Discectomy and Fusion at Lumbosacral Level: A Case Report. Spine. 2018;43(22):1364–7. doi: 10.1097/BRS.0000000000002711Adams R, Herrera-Nicol S, Jenkins AL. 3rd.Surgical treatment of a Rare Presentation of Bertolotti's Syndrome from Castellvi Type IV Lumbosacral Transitional Vertebra: Case Report and Review of the Literature. J Neurol Surg Rep. 2018;79(3):70–4. doi: 10.1055/s0038-1667172Adams R, Herrera-Nicol S, Jenkins AL. 3rd.Surgical treatment of a Rare Presentation of Bertolotti's Syndrome from Castellvi Type IV Lumbosacral Transitional Vertebra: Case Report and Review of the Literature. J Neurol Surg Rep. 2018;79(3):70–4. doi: 10.1055/s0038-1667172Smith WD, Youssef JA, Christian G, Serrano S, Hyde JA. Lumbarized sacrum as a relative contraindication for lateral trans psoas inter body fusion at L5-6. J Spine Disord Tech. 2012;25(5):285–91. doi: 10.1097/BSD.0b013e31821e262fSmith WD, Youssef JA, Christian G, Serrano S, Hyde JA. Lumbarized sacrum as a relative contraindication for lateral trans psoas inter body fusion at L5-6. J Spine Disord Tech. 2012;25(5):285–91. doi: 10.1097/BSD.0b013e31821e262fAbe E, Sato K, Shimada Y, Okada K, Yan K, Mizutani Y. Anterior decompression of foraminal stenosis below a lumbosacral transitional vertebra. A case report. Spine. 1997;22(7):823–6. doi: 10.1097/00007632-199704010-00023Abe E, Sato K, Shimada Y, Okada K, Yan K, Mizutani Y. Anterior decompression of foraminal stenosis below a lumbosacral transitional vertebra. A case report. Spine. 1997;22(7):823–6. doi: 10.1097/00007632-199704010-00023Haffer H, Becker L, Putzier M, Wietholter M, Ziegeler K, Diekhoff T, Pumberger M, Hardt S. Changes of Fixed Anatomical Spinopelvic Parameter in Patients with Lumbosacral Transitional Vertebrae: A Matched Pair Analysis. Diagnostics (Basel). 2021;11(1):59. doi: 10.3390/diagnostics11010059Haffer H, Becker L, Putzier M, Wietholter M, Ziegeler K, Diekhoff T, Pumberger M, Hardt S. Changes of Fixed Anatomical Spinopelvic Parameter in Patients with Lumbosacral Transitional Vertebrae: A Matched Pair Analysis. Diagnostics (Basel). 2021;11(1):59. doi: 10.3390/diagnostics11010059Santavirta S, Tallroth K, Ylinen P, Suoranta H. Surgical treatment of Bertolotti's syndrome. Follow-ap of 16 patients. Arch Orthop Trauma Surg. 1993;112(2):82–7. doi: 10.1007/BF00420261Santavirta S, Tallroth K, Ylinen P, Suoranta H. Surgical treatment of Bertolotti's syndrome. Follow-ap of 16 patients. Arch Orthop Trauma Surg. 1993;112(2):82–7. doi: 10.1007/BF00420261Mikula AL, Lakomkin N, Ransom RC, Flanigan PM, Waksdahl LA, Penington Z, Sharma MS, Elder BD, Fogelson JL. Operative Treatment of Bertolotti Syndrome: Resection Versus Fusion. World Neurosurg.2022;165:311–6. doi: 10.1016/j.wneu.2022.06.042Mikula AL, Lakomkin N, Ransom RC, Flanigan PM, Waksdahl LA, Penington Z, Sharma MS, Elder BD, Fogelson JL. Operative Treatment of Bertolotti Syndrome: Resection Versus Fusion. World Neurosurg.2022;165:311–6. doi: 10.1016/j.wneu.2022.06.042Бывальцев В.А., Калинин А.А., Бирючков М.Ю., Хозеев Д.В., Джубаева Б.А., Пестряков Ю.Я. Анализ неудовлетворительных результатов хирургического лечения пациентов с аномалиями пояснично-крестцового перехода позвоночника. Вопросы нейрохирургии имени Н.Н. Бурденко. 2022;86(1):39–47. doi: 10.1711/neiro20228601139Byvaltsev VA, Kalinin AA, Biryuchkov MYu, Khoseev DV, Dzhubaeva BA, Pestryakov YuYa. Analysis of unsatisfactory results of surgical treatment of patients with anomalies of the lumbosacral junction of the spine. Burdenko’s Journal of Neurosurgery. 2022;86(1):39–47 (In Russ.). doi: 10.1711/neiro20228601139

The authors declare that there are no conflicts of interest present.