Verify your email address to receive email notifications.

Verification sent. Please check your inbox to verify your address.

Unable to send verification. Please try again later.

Get information from qualified health professionals on the COVID-19 Coronavirus.
  • Q&A with Australian Health Practitioners

    Does anyone have experience with Bertolotti's Syndrome?

    It's the articulation on L5-S1 vertabrae. I've already had one surgery for spinal stenosis, which cleared up the pain, sciatica and numbness for around 12 months but now the numbness is back and LBP is present again. I personally think a resection is the way to go. Thoughts?
  • Find a professional to answer your question

  • 2

    Thanks

    Dr Michael Powderly

    Chiropractor, Kinesiologist

    .Dr Michael Powderly is a Chiropractor of 22 years’ experience, practicing in Surrey Hills Melbourne, and consulting for the Melbourne Rebels Super 15 Rugby Union … View Profile

    Bertalotti's syndrome is actually very common. About 10% of the population have a transitional lumbar vertebra. Your L5 vertebra is like a hybrid of L5 and your sacrum. Having a transitional vertebra alters the mechanics of the spine and can make it more vulnerable to injury. However, the presence of a transitional vertebra doesn't necessarily cause pain. Many people have one and don't even know about it.

    The likely cause of your pain is a secondary injury resulting from your abnormal spinal mechanics. A disc, a facet joint, or ligamentum inflavum injury could all cause the nerve compression you seem to be experiencing. It sounds like you have had a laminectomy to reduce your canal stenosis. Before you consider further surgery perhaps get a skilled neurological & orthopaedic exam to clinically determine the exact cause of your injury and pain. A chiropractor could provide that assessment.

answer this question

You must be a Health Professional to answer this question. Log in or Sign up .

You may also like these related questions

Ask a health question
Community Contributor

Empowering Australians to make better health choices