Full-Endoscopic J-Shaped Transforaminal L5 Nerve Decompression in Bertolotti Syndrome.

ABSTRACT: This case report and video demonstrate the technique of full-endoscopic J-shaped transforaminal L5 exiting nerve decompression in Bertolotti syndrome. Bertolotti syndrome, characterized by a congenital lumbosacral transitional vertebra, often results in mechanical lower back pain and nerve root compression. A 69-year-old male presented with progressive radiating pain in the right leg and tingling in the L5 dermatome. Lumbar spine MRI revealed a right foraminal disc herniation at the L5-S1 level, with calcification and foraminal stenosis. The patient was also diagnosed with Castellvi type I Bertolotti syndrome, featuring a large L5 transverse process and a high iliac crest. These anatomical variations complicated the transforaminal approach, creating a narrow safety zone for conventional me

SUBMITTER: Ju CI 

PROVIDER: S-EPMC11744531 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature