Title: Sacralisation of Lumbar Vertebra
Authors: Dr Subitcha.B, Dr Lavanya C
DOI: https://dx.doi.org/10.18535/jmscr/v5i4.189
Abstract
References
Introduction: Sacralisation is a congenital vertebral anomaly where there is a fusion of the 5th lumbar vertebra with the 1st sacral segment. Several studies have described this occurrence as one of the cause of low back ache. This is possibly due to the pressure on nerves or nerve trunks.
Methods & Materials: A total of 55 sacra from the Department of Anatomy were taken for the study. Non-pathological sacra of both sexes were included for the study. The sacralisation of lumbar vertebra was examined and the results were noted.
Results & Conclusion: In the present study the incidence of sacralisation of lumbar vertebra is 7.27 %. Prevalence of lumbosacral transition demands clinical and radiological assessment prior to any interventional obstetric and surgical procedure.
Keywords: low back pain, lumbar dics degeneration
1. Kim N.H & Suk, K.S. The role of transitional vertebrae in spondylolysis and spondylolytic spondylolisthesis. Bull. Hosp. Jt. Dis., 56(3): 161-6, 1997.
2. Kong, C.G; Park, J.S & Park, J.B. Sacralisation of L5 in Radiological Studies of Degenerative Spondylolisthesis at L4-L5. Asian Spine J., 2(1): 34-7, 2008.
3. Bertolotti M. Contributtoalla conoscen-zadei vici di differen zarioneregionale del rechide con special regards allasimilazzione sacral della v. lombare. RadiologiqueMedica 1917; 4: 113-44.
4. Dullereud R. Diagnostic imaging in lumbago and sciatica. UgeskrLaeger 1999; 161: 5299-303.
5. Kanchan, T; Shetty, M; Nagesh, K.R; &Menzes, R.G. Lumbosacral transitional vertebra. Clinical and forensic implic-ations. Singapore Med. J.,50(2):e85-7, 2009.
6. Moore, B.H. Sacralisation of the fifth lumbar vert. J. Bone Joint Surg. Am., 7:271-8, 1925.
7. Delport,E.G; Cucuzzella,T.R; Kim, N.; Marley,J; Prin H;C &Delport A.G. Lumbosacral transitional vertebrae: incidence in a consecutive patient series. Pain Physician, 9(1): 53-6, 2006.
8. Karan BK; Manisha B.R, Indian Jour of Basic & Applied Medical Research, 6(2):510-514, 2013.
9. Kubavat Dharati, Nagar SK, Malukar Ojaswini, Trivedi Dipali, Shrimankar Paras, PatilSucheta. A Study of sacralisation of fifth lumbar vertebra in Gujarat. National Jour. Of Medical Research., 2(2): 211-213, 2012.
10. Vandana A Sharma, D.K Sharma, C.K Shukla. Osteogenic study of lumbosacral transitional vertebra in Central India region, J. Anat. Soc. India 2011; 60(2): 212-217.
11. Chet Savage. Lumbosacral transitional vertebrae; Classification of variation and Association with low back pain A thesis presented to the Faculty of the Graduate School University of Missouri- Columbia; July: 2005.
12. Magora A, Schwartz A, Relation between low back pain syndrome and X ray findings. Transitional vertebra (mainly sacralisation) Scan J Rehabil Med 1928; 10: 135-45.
13. Peter H. Wilm B, Sakai N, Imai K. Maes R, Balling R. Pax 1 &Pax 9 synergistically regulate vertebral column development, 1999; 126: 5399-408.
14. Otani K, Konno S, Kikuchi S; Lumbosacral transitional vertebrae and nerve root symptoms. J Bone Joint Surg. (Br) 2001, 83(8): 1137-40.
15. Hambly, M.F.; Wiltse L.L; Raghavan, N; Shneiderman, G & Koenig, C. The transition zone above a lumbosacral fusion. Spine, 23(16):1785-92,1998.
16. Moore KL, Persaud TVN: from the developing human: clinically oriented embryology. In skeletal system. 8thed, Saunders, Elsevier, Philadelphia; 2008: 344-346.
17. Verganwen, S, Parizel PM, Van Breusegem L, Van Goethan JW, Nackaerts Y, Van den HL, De Schepper Am: Distribution and incidence of degenerative spine changes in patients with a lumbosacral transitional vert. Eur Spine J 1997, 6: 168-172.