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Bertolotti's syndrome is characterized by sacralization of the lowest lumbar vertebral body and lumbarization of the uppermost sacral segment. It involves a total or partial unilateral or bilateral fusion of the transverse process of the lowest lumbar vertebra to the sacrum, leading to the formation of a transitional 5th lumbar vertebra.
Sacralization of the L5 vertebra is seen at the lower right of the image. Sacralization of the fifth lumbar vertebra (or sacralization) is a congenital anomaly, in which the transverse process of the last lumbar vertebra (L5) fuses to the sacrum on one side or both, or to ilium, or both.
Sagittal CT of the lumbar spine showing Baastrup's sign. The salient feature of the disorder is the exuberant osteophytosis that occurs at posterior lumbar spinous processes. Osteophytes are coarse calcifications at the edges of bone that form due to repetitive stress and trauma.
one spinous process; two transverse processes; four articular processes; A major part of a vertebra is a backward extending spinous process (sometimes called the neural spine) which projects centrally. [7] This process points dorsally and caudally from the junction of the laminae. [7] The spinous process serves to attach muscles and ligaments.
The fifth lumbar vertebra is characterized by its body being much deeper in front than behind, which accords with the prominence of the sacrovertebral articulation; by the smaller size of its spinous process; by the wide interval between the inferior articular processes, and by the thickness of its transverse processes, which spring from the ...
The lumbosacral ligament or lateral lumbosacral ligament is a ligament that helps to stabilise the lumbosacral joint. The ligament's medial attachment is at (the inferior border of) transverse process of lumbar vertebra L5; its lateral attachment is at the ala of sacrum. [2]
Behind this is the large triangular orifice of the sacral canal, which is completed by the lamina and spinous process of the first sacral vertebra. The superior articular processes project from it on either side; they are oval, concave, directed backward and medialward, like the superior articular processes of a lumbar vertebra.
A lumbar myelomeningocele. Myelomeningocele (MMC), also known as meningomyelocele, is the type of spina bifida that often results in the most severe complications and affects the meninges and nerves. [30] In individuals with myelomeningocele, the unfused portion of the spinal column allows the spinal cord to protrude through an opening.
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