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Does lumbosacral transitional vertebrae cause low back pain?
(Galenos, 2020) Kara, Gökhan Kürşat; Kavak, Hüseyin
Abstract:Objective: Lumbosacral transitional vertebra (LSTV) is the most common congenital anomaly of the lumbosacral area. Its prevalence varies between 4% and 35.9%, and its relationship with back pain is controversial. In this study, we aimed to investigate the relationship of LSTV with low back pain by comparing the prevalence of LSTV between nonspecific low back pain and abdominal pain. Materials and Methods: A total of 411 radiographs from patients with nonspecific low back pain (group 1) and 520 radiographs from patients with abdominal pain (group 2) were included in the study. Data were evaluated according to Castellvi’s radiographic classification, and the prevalence of LSTV was reported. Results: According to Castellvi’s classification, the prevalence of LSTV was 27.5% and 36.7% in groups 1 and 2, respectively. LSVT types Ia, Ib and IIIb were the most common types. Conclusion: In abdominal pain group (group 2), which was used as the control group in our study, statistically significantly (p<0.05) more LSTV was found compared to the nonspecific low back pain group (group 1). Therefore, no correlation was found between LSTV and nonspecific low back pain.