Clin Pain.  2020 Dec;19(2):133-137. 10.35827/cp.2020.19.2.133.

Multimodal Treatment for Various Clinical Features in Bertolotti’s Syndrome

  • 1Department of Physical Medicine & Rehabilitation, Jeonbuk National University Medical School, Korea
  • 2Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Korea
  • 3Translational Research & Clinical Trial Center for Medical Device, Jeonbuk National University Hospital, Jeonju, Korea


Bertolotti's syndrome (BS) is a disease that should be differentiated from low back pain (LBP) in young patients. BS shows an anatomical abnormality in which elongated transverse processes of the last lumbar vertebra articulate or fuse with varying degrees to the sacrum or ilium according to radiologic findings, which is associated with the clinical feature of LBP or radiating pain. In this case report, we describe various clinical features such as a waddling gait with severe foot and triceps surae muscle pain, in addition to the typical symptom of BS such as LBP. We report the various clinical symptoms and treatment progress in this case and review the literature.


Bertolotti’s syndrome; Transitional vertebrae; Posture; Pain; Therapeutics
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