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CC BY-NC-ND 4.0 · World J Nucl Med 2017; 16(04): 328-330
DOI: 10.4103/1450-1147.215495
Case report

Evaluation and identification of lumbosacral transitional vertebra causing intractable low back pain utilizing bone single-photon emission tomography with computed tomography

Khulood Al Riyami
Department of Nuclear Medicine, University College London Hospital, London
,
Suliman Alahmed
Department of Nuclear Medicine, University College London Hospital, London
,
Ziauddin Saad
Department of Nuclear Medicine, University College London Hospital, London
,
Jamshed Bomanji
Department of Nuclear Medicine, University College London Hospital, London
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The cause of low back pain due to lumbosacral transitional vertebra (LSTV) still remains a debated topic. Functional imaging with bone scintigraphy has been a valuable adjunct in its assessment; however, in recent years, the additional utility of single-photon emission tomography with computed tomography (SPECT/CT) is evolving as the imaging modality of choice in identifying range of complex lower back pain sources, leading to the provision of suitable treatment options. We present a case demonstrating a variant type of LSTV as a source of pain localized and delineated on hybrid SPECT/CT imaging treated by minimally invasive microendoscopic resection of the pseudoarticulations.

Keywords

Low back pain - lumbosacral transitional vertebra - single-photon emission tomography with computed tomography


Publication History

Article published online:
18 May 2022

© 2017. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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