Clinical Pain

Korean Association of Pain Medicine (대한임상통증학회)
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Multimodal Treatment for Various Clinical Features in Bertolotti's Syndrome

베르톨로티 증후군의 다양한 임상 양상에 대한 포괄적 치료

  • Kang, Dong-Ha (Department of Physical Medicine & Rehabilitation, Jeonbuk National University Medical School) ;
  • Kim, Da-Sol (Department of Physical Medicine & Rehabilitation, Jeonbuk National University Medical School) ;
  • Won, Yu-Hui (Department of Physical Medicine & Rehabilitation, Jeonbuk National University Medical School) ;
  • Park, Sung-Hee (Department of Physical Medicine & Rehabilitation, Jeonbuk National University Medical School) ;
  • Ko, Myoung-Hwan (Department of Physical Medicine & Rehabilitation, Jeonbuk National University Medical School) ;
  • Seo, Jeong-Hwan (Department of Physical Medicine & Rehabilitation, Jeonbuk National University Medical School) ;
  • Kim, Gi-Wook (Department of Physical Medicine & Rehabilitation, Jeonbuk National University Medical School)
  • 강동하 (전북대학교 의과대학 재활의학교실) ;
  • 김다솔 (전북대학교 의과대학 재활의학교실) ;
  • 원유희 (전북대학교 의과대학 재활의학교실) ;
  • 박성희 (전북대학교 의과대학 재활의학교실) ;
  • 고명환 (전북대학교 의과대학 재활의학교실) ;
  • 서정환 (전북대학교 의과대학 재활의학교실) ;
  • 김기욱 (전북대학교 의과대학 재활의학교실)
  • Received : 2020.09.02
  • Accepted : 2020.09.23
  • Published : 2020.12.31
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Abstract

Bertolotti's syndrome (BS) is a disease that should be differentiated from low back pain (LBP) in young patients. BS shows an anatomical abnormality in which elongated transverse processes of the last lumbar vertebra articulate or fuse with varying degrees to the sacrum or ilium according to radiologic findings, which is associated with the clinical feature of LBP or radiating pain. In this case report, we describe various clinical features such as a waddling gait with severe foot and triceps surae muscle pain, in addition to the typical symptom of BS such as LBP. We report the various clinical symptoms and treatment progress in this case and review the literature.

Keywords

Acknowledgement

Conflicts of Interest and Source of Funding: This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea [grant number: HI15C1529].

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