Clinical Report: Endoscopic Unilateral Biportal Spinal Surgery for Adolescent Bertolotti Syndrome

Background

Bertolotti syndrome (BS) is associated with lumbosacral transitional vertebrae and can lead to significant back pain and radiculopathy. This case highlights the use of endoscopic techniques in managing BS.

Data Highlights

Key Findings

• The patient was a 17-year-old girl with persistent lower back pain and radicular symptoms.
• Preoperative imaging confirmed a type Castellvi IIa LSTV and left side L5/S1 pseudoarthrosis.
• Endoscopic decompression surgery was performed using the UBE technique, resulting in nerve root decompression.
• Postoperative pain scores improved significantly, with symptom resolution at 3-month follow-up.

Clinical Implications

Further studies are needed to establish standardized protocols for treatment in this population.

Conclusion

Endoscopic decompression via UBE was performed in an adolescent with Bertolotti syndrome after conservative measures.

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