35 yo/female patient presents with non-specific LBP. This is a continuation of our prior case.
No prior trauma, surgeries, carcinoma or corticosteroid regimen.
Seen below, the orginal Castellvi classification system derived in 1984.
Lumbosacral Transitional Vertebrae: Classification, Imaging Findings, and Clinical Relevance
Konin AJNR 31 Nov-Dec 2010 www.ajnr.org
Konin, et al therorized in 2010 that certain LSTV may be responsilbe for associated lower back discomfort, disc lesions, ipsilateral & contrateral facet pain & in the worst clinical scenario wrong level spinal surgery. (1)