Lumbosacral transitional vertebrae: association with low back pain.

Abstract:

PURPOSE:To assess the prevalence and degree of lumbosacral transitional vertebrae (LSTV) in the Osteoarthritis Initiative (OAI) cohort, to assess whether LSTV correlates with low back pain (LBP) and buttock pain, and to assess the reproducibility of grading LSTV. MATERIALS & METHODS:Institutional review board approval was obtained, and informed consent documentation was approved for the study protocol. Standard standing pelvic radiographs that included the transverse processes of L5 were graded according to Castellvi classification of LSTV in 4636 participants (1992 men and 2804 women; aged 45-80 years) from the OAI cohort. These data were correlated with prevalence and severity of LBP and buttock pain. RESULTS:Prevalence of LSTV was 18.1% (841 of 4636), with a higher rate in men than in women (28.1% vs 11.1%, respectively; P<.001). Of the 841 individuals with LSTV, 41.72% were type I (dysplastic enlarged transverse process), 41.4% were type II (pseudoarticulation), 11.5% were type III (fusion), and 5.2% were type IV (one transverse process fused and one with pseudoarticulation). Of the participants without LSTV, 53.9% reported LBP, while the prevalence of LBP for types I, II, III, and IV was 46%, 73%, 40%, and 66%, respectively (P<.05, χ2 test). Types II and IV had higher prevalence and severity of LBP and buttock pain (P<.001). CONCLUSION:LSTV types II and IV positively correlate with prevalence and severity of LBP and buttock pain.

journal_name

Radiology

journal_title

Radiology

authors

Nardo L,Alizai H,Virayavanich W,Liu F,Hernandez A,Lynch JA,Nevitt MC,McCulloch CE,Lane NE,Link TM

doi

10.1148/radiol.12112747

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

497-503

issue

2

eissn

0033-8419

issn

1527-1315

pii

radiol.12112747

journal_volume

265

pub_type

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