Fracture of the transverse process of the fifth lumbar vertebra

Injury ◽  
1985 ◽  
Vol 16 (6) ◽  
pp. 421-423 ◽  
Author(s):  
N.D. Reis ◽  
D. Keret
Keyword(s):  
Lumbar Vertebra ◽  
Transverse Process ◽  
Fifth Lumbar Vertebra

scholarly journals Traumatic Lumbosacral Dislocation Treated with Posterior Lumbar Interbody Fusion Using Intersomatic Cages

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Katsuhiro Tofuku ◽  
Hiroaki Koga ◽  
Kazunori Yone ◽  
Setsuro Komiya
Keyword(s):  
Interbody Fusion ◽  
Posterior Lumbar Interbody Fusion ◽  
Lumbar Vertebra ◽  
Transverse Process ◽  
Normal Activity ◽  
Fusion Rate ◽  
Radiographic Examination ◽  
Lumbar Interbody Fusion ◽  
Fifth Lumbar Vertebra ◽  
Lumbosacral Dislocation

A 35-year-old man was struck by a car on his right side and presented with paraparesis of both lower extremities. Radiographic examination revealed multiple transverse process fractures and anterior displacement of L5 on S1. Computed tomography revealed a bilateral anterior facet dislocation of the fifth lumbar vertebra on the sacrum. MRI showed rupture of the posterior ligamentous complex. A posterior lumbar interbody fusion using two intersomatic cages and pedicle screw instrumentation and posterior fusion were performed. Although no major disc lesion was found at the level of L5-S1 on preoperative MRI, a severely collapsed L5-S1 disc was found intraoperatively. Two years after surgery, the patient was asymptomatic with normal neurological findings, and has resumed normal activity. We believe that lumbosacral dislocation can be considered a three-column injury with an L5-S1 disc lesion, and, therefore, requires a solid circumferential segmental arthrodesis to improve fusion rate.

Transverse sacralization of lumbar vertebrae: prevalence according to Castellvi classification

2016 ◽  
Vol 3 (1) ◽  
pp. 116
Author(s):  
Juhi V. Patel ◽  
Chetan M. Mehta ◽  
Nandakishore G. Patil ◽  
Shreya R. Sehgal
Keyword(s):  
Lumbar Vertebrae ◽  
Lumbar Vertebra ◽  
Transverse Process ◽  
The Body ◽  
Type I ◽  
Transitional Vertebra ◽  
Spinal Movement ◽  
Vertebral Disc ◽  
Fifth Lumbar Vertebra ◽  
Lumbosacral Transitional Vertebra

<p class="abstract"><strong>Background:</strong> Sacralization of L5 is a congenital anomaly, in which the lumbar vertebra, mainly its transverse process, gets fused or semi-fused with the sacrum or the ilium or to both. This fusion can occur in one or both sides of the body. Sacralization leads to fusion of the L5 (fifth lumbar vertebra) and S1 (first sacral vertebra) and the inter-vertebral disc between them may be narrow. Sacralization of lumbar vertebra may be asymptomatic but is not always clinically insignificant. While sacralization may not affect at all, it can cause problems in some cases. Sacralization may be at times associated with problems in biomechanics and affect the ways of movement and posture control. Sacralization may also be an important consideration in disc surgeries. This study has been carried out to find out prevalence of sacralisation of transverse process of fifth lumbar vertebrae<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> The present study of transverse sacralisation of fifth lumbar vertebra was carried out on 35 randomly selected patients. The sample consisted of patients undergoing CT scan for abdominal complains. Bone window of all patients were evaluated to look for lumbosacral transitional vertebra.<strong></strong></p><p class="abstract"><strong>Results:</strong> The prevalence of transverse sacralization of lumbar vertebra turned out to be 25.7% out of which Castellvi type IIb was found to be most common, accounting for 33.3% cases. 5.7% comprised the group of normal variant (Castellvi’s type I) and 68.6% were normal<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> <span>It is important to determine lumbosacral transitional vertebra as it can affect spinal movement and put excess stress on the lumbar vertebrae and in between disc. Moreover it</span> can have a bearing on counting of vertebral levels specially during planning of spinal surgey<span lang="EN-IN">.</span></p><p> </p>

Biometrical sexual differentiation of fourth, fifth and sixth lumbar vertebrae in blue bull (Boselaphus tragocamelus)

2018 ◽  
Author(s):  
S. Sathapathy ◽  
B.S. Dhote ◽  
D. Mahanta ◽  
S. Tamilselvan ◽  
M. Mrigesh ◽  
...  
Keyword(s):  
Average Length ◽  
Lumbar Vertebrae ◽  
Lumbar Vertebra ◽  
Transverse Process ◽  
Transverse Diameter ◽  
Average Height ◽  
Legal Cases ◽  
Vertebral Canal ◽  
Fifth Lumbar Vertebra ◽  
Wild Life

The present study was carried out on the lumbar vertebrae of adult Blue bull (Boselaphus tragocamelus) of either sex. Biometrical observations on different parameters of lumbar vertebrae reflected significance (P Less than 0.05) differences between the sexes of this species. It was confirmed that the average length of body gradually decreased from fourth to sixth lumbar vertebrae in the Blue bull. The average transverse diameter or width of vertebral canal and average vertical diameter or height of the vertebral canal was largest in the sixth lumbar vertebra. The average length of transverse process gradually increased from fourth to fifth lumbar vertebra and then it suddenly decreased in the sixth lumbar vertebra. The average height of the dorsal supraspinous process gradually decreased from fourth to sixth lumbar vertebrae and it was lowest in the sixth one. The data on the biometry of fourth, fifth and sixth lumbar vertebrae of Blue bull would develop a baseline that could be useful to the wild life Veterinarians in identification and solving vetero-legal cases.

scholarly journals RELATIONSHIP BETWEEN SACRALIZATION AND LOW BACK PAIN IN RURAL POPULATION

2021 ◽  
Vol 10 (4) ◽  
pp. 3280-3283
Author(s):  
Madhura Darware
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Vertebra ◽  
Transverse Process ◽  
Lumbosacral Spine ◽  
Common Symptom ◽  
Low Back ◽  
Back Ache ◽  
Fifth Lumbar Vertebra ◽  
The Relationship

Sacralization is an embryo congenital defect in which the fifth lumbar vertebra is fused to the sacrum in various degrees. The prevalence of sacralization is 7.5 percent. Sacralization can be unilateral or bilateral. This disorder arises due to irregularities in the lumbosacral spine segmentation during development. Transverse process of the L5 on one side or both sides is wider than usual and fuses into the sacrum or ilium or both in the sacralization of the fifth lumbar vertebra. Low back pain is the most common symptom in most of the population throughout their lifetime. As low back pain is a leading cause of disability, interfering with quality of life and job outcomes our goal is to assess the association between sacralisation and low back pain. Purpose: To study the relationship between sacralization and low back pain. Because the role of sacralization throughout causing LBP is still controversial. This is the observational study which includes 55 participants who have low back ache. The participants are between the ages 60 to 70 years. The intensity of pain was assessed through NPRS. To assess the relationship between Sacralization and low back pain, all the participants were sent for Xray and the presence of Sacralization was assessed by X-ray. We found that there was a significant relationship between sacralization and low back pain. The patients with sacralization show the high intensity of low back pain. We concluded that Sacralization affects the lumbosacral spine in different ways and result in pain in lower back. And there is significant association of sacralization with low back ache.

scholarly journals LUMBOSACRAL TRANSITIONAL VERTEBRA ASSOCIATED WITH SACRAL SPINA BIFIDA OCCULTA: A CASE REPORT

2013 ◽  
Vol 56 (3) ◽  
pp. 126-129
Author(s):  
George Paraskevas ◽  
Maria Tzika ◽  
Panagiotis Kitsoulis
Keyword(s):  
Case Report ◽  
Spina Bifida ◽  
Lumbar Vertebra ◽  
Spina Bifida Occulta ◽  
Sacral Vertebra ◽  
Transitional Vertebra ◽  
Fifth Lumbar Vertebra ◽  
Lumbosacral Transitional Vertebra ◽  
Incomplete Closure ◽  
Lumbosacral Transitional Vertebrae

Congenital malformations such as lumbosacral transitional vertebrae and spina bifida occulta constitute unrare anomalies and could affect the symptomatology of low back pain. A transitional vertebra is characterized by elongation of one or both transverse processes, leading to the appearance of a sacralized fifth lumbar vertebra or a lumbarized first sacral vertebra. Furthermore, sacral spina bifida occulta is a developmental anomaly that corresponds to the incomplete closure of the vertebral column. In the present case report, we describe a case of a dried sacrum presenting a partially sacralized fifth lumbar vertebra and total spina bifida, extended from first to fifth sacral vertebra. A pseudoarthrosis is formed on the left side and the specimen could be incorporated in Castellvi’s type IIa. Moreover, the incidence, morphology, clinical and surgical significance of these spinal malformations are discussed.

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