Main Article Content
Abstract
RÉSUMÉ
INTRODUCTION
Les vertèbres transitionnelles lombosacrées (VTLS) et le spina bifida occulta (SBO) peuvent entrainer des lombalgies en particulier chez des sujets jeunes. Du fait de leur origine génétique, leur distribution pourrait varier en fonction des races ; pourtant leur prévalence demeure largement inconnue en Afrique.
OBJECTIFS
Déterminer la prévalence des VTLS et du SBO chez des noirs africains souffrant de lombalgie chronique.
PATIENTS ET MÉTHODES
575 radiographies du rachis lombaire (incidences de face et de profil) de patients noirs africains souffrant de lombalgie chronique ont été revues à la recherche de VTLS de SBO. Les VTLS ont été classées selon le système de Castellvi. Les proportions d’anomalies par sexe ont été comparées par le test de Fisher.
RÉSULTATS
L’âge médian des sujets était de 44 ans [15 à 80 ans] et le sex ratio femme/homme de 1.03. La prévalence globale des VTLS et du SBO était de 13,6% et 2,1% respectivement. Les VTLS étaient plus fréquentes dans la population masculine avec une prédominance du type IIa. La fréquence du SBO n’était pas influencée par le sexe.
CONCLUSION
La prévalence de VTLS et de SBO chez le sujet noir africain souffrant de lombalgies est similaire à celles retrouvées dans les séries caucasiennes et asiatiques.
ABSTRACT
INTRODUCTION
Lumbosacral transitional vertebrae (LSTV) and spina bifida occulta (SBO) can cause low back pain (LBP) particularly in young subjects. It was assumed that their distribution undergoes racial differences but their prevalence is not sufficiently known in Africa.
OBJECTIVES
To determine the prevalence of LSTV and SBO among black African patients with LBP.
PATIENTS AND METHODS
575 radiographs of the lumbar spine (anteroposterior and lateral views) of black African patients with LBP were reviewed to detect and characterize LSTV and SBO. LSTV was grouped according to the Castellvi classification. The proportions of abnormalities among sex were compared using Fisher's exact test.
RESULTS
The median age of patients was 44 years [15 to 80 years] and sex ratio was 1.03 female/male. The prevalence of LSTV and SBO were 13.6 % and 2.1% respectively in the whole population. LSTV were more common in men with a predominance of type IIa. The frequency of SBO was not significantly influenced by gender.
CONCLUSION
The prevalence LSTV and SBO in black African subjects with low back pain is similar to those found in Caucasian and Asian populations.
Article Details
References
- Hoy D, Brooks P, Blyth F, Buchbinder R. The Epidemiology of low back pain. Best Pract Res Clin Rheumatol. 2010 Dec;24(6):769–81.
- Nardo L, Alizai H, Virayavanich W, Liu F, Hernandez A, Lynch JA, et al. Lumbosacral transitional vertebrae: association with low back pain. Radiology. 2012 Nov;265(2):497–503.
- Taskaynatan MA, Izci Y, Ozgul A, Hazneci B, Dursun H, Kalyon TA. Clinical significance of congenital lumbosacral malformations in young male population with prolonged low back pain. Spine Phila Pa 1976. 2005;30:E210–3.
- Hughes RJ, Saifuddin A. Imaging of lumbosacral transitional vertebrae. Clin Radiol. 2004;59:984–91.
- Bertolotti M. Contributo alla conoscenza dei vizi di differenzazione regionale del rachide con speciale riguardo all’ assimilazione sacrale della v. lombare. Radiol Med. 1917;4:113–44.
- Konin GP, Walz DM. Lumbosacral Transitional Vertebrae: Classification, Imaging Findings, and Clinical Relevance. Am J Neuroradiol. 2010 Mar 4;31(10):1778–86.
- Apazidis A, Ricart PA, Diefenbach CM, Spivak JM. The prevalence of transitional vertebrae in the lumbar spine. Spine J. 2011;11:858–62.
- Oyinloye OI, Abdulkadir AY, Babalola OM. Incidence and patterns of lumbosacral transitional vertebrae, in patients with low backpain in a Nigerian hospital. Niger Q J Hosp Med. 2009 Jun;19(2):95–9.
- Secer M, Muradov JM, Dalgic A. Evaluation of congenital lumbosacral malformations and neurological findings in patients with low back pain. Turk Neurosurg. 2009;19:145–8.
- Tini PG, Wieser C, Zinn WM. The transitional vertebra of the lumbosacral spine: its radiological classification, incidence, prevalence, and clinical significance. Rheumatol Rehabil. 1977;16:180–5.
- Bron JL, van Royen BJ, Wuisman PIJM. The clinical significance of lumbosacral transitional anomalies. Acta Orthop Belg. 2007 Dec;73(6):687–95.
- Delport EG, Cucuzzella TR, Kim N, Marley J, Pruitt C, Delport AG. Lumbosacral transitional vertebrae: incidence in a consecutive patient series. Pain Physician. 2006;9:53–6.
- Castellvi AE, Goldstein LA, Chan DP. Lumbosacral transitional vertebrae and their relationship with lumbar extradural defects. Spine Phila Pa 1976. 1984;9:493–5.
- Vergauwen S, Parizel PM, van Breusegem L, Van Goethem JW, Nackaerts Y, Van den Hauwe L, et al. Distribution and incidence of degenerative spine changes in patients with a lumbo-sacral transitional vertebra. Eur Spine J. 1997;6:168–72.
- Elster AD. Bertolotti’s syndrome revisited. Transitional vertebrae of the lumbar spine. Spine Phila Pa 1976. 1989;14:1373–7.
- Quinlan JF, Duke D, Eustace S. Bertolotti’s syndrome. A cause of back pain in young people. J Bone Jt Surg Br. 2006;88:1183–6.
- Olofin. Incidence of lumbosacral transitional vertebrae in low back pain patients. West Afr J Radiol. 2001;8(1):1–6.
- Hsieh CY, Vanderford JD, Moreau SR, Prong T. Lumbosacral transitional segments: classification, prevalence, and effect on disk height. J Manip Physiol Ther. 2000;23:483–9.
- Farshad-Amacker NA, Lurie B, Herzog RJ, Farshad M. Interreader and intermodality reliability of standard anteroposterior radiograph and magnetic resonance imaging in detection and classification of lumbosacral transitional vertebra. Spine J [Internet]. 2013 Oct [cited 2014 Apr 5]; Available from: http://linkinghub.elsevier.com/retrieve/pii/S1529943013014964
- Otani K, Konno S, Kikuchi S. Lumbosacral transitional vertebrae and nerve-root symptoms. J Bone Jt Surg Br. 2001;83:1137–40.
References
Hoy D, Brooks P, Blyth F, Buchbinder R. The Epidemiology of low back pain. Best Pract Res Clin Rheumatol. 2010 Dec;24(6):769–81.
Nardo L, Alizai H, Virayavanich W, Liu F, Hernandez A, Lynch JA, et al. Lumbosacral transitional vertebrae: association with low back pain. Radiology. 2012 Nov;265(2):497–503.
Taskaynatan MA, Izci Y, Ozgul A, Hazneci B, Dursun H, Kalyon TA. Clinical significance of congenital lumbosacral malformations in young male population with prolonged low back pain. Spine Phila Pa 1976. 2005;30:E210–3.
Hughes RJ, Saifuddin A. Imaging of lumbosacral transitional vertebrae. Clin Radiol. 2004;59:984–91.
Bertolotti M. Contributo alla conoscenza dei vizi di differenzazione regionale del rachide con speciale riguardo all’ assimilazione sacrale della v. lombare. Radiol Med. 1917;4:113–44.
Konin GP, Walz DM. Lumbosacral Transitional Vertebrae: Classification, Imaging Findings, and Clinical Relevance. Am J Neuroradiol. 2010 Mar 4;31(10):1778–86.
Apazidis A, Ricart PA, Diefenbach CM, Spivak JM. The prevalence of transitional vertebrae in the lumbar spine. Spine J. 2011;11:858–62.
Oyinloye OI, Abdulkadir AY, Babalola OM. Incidence and patterns of lumbosacral transitional vertebrae, in patients with low backpain in a Nigerian hospital. Niger Q J Hosp Med. 2009 Jun;19(2):95–9.
Secer M, Muradov JM, Dalgic A. Evaluation of congenital lumbosacral malformations and neurological findings in patients with low back pain. Turk Neurosurg. 2009;19:145–8.
Tini PG, Wieser C, Zinn WM. The transitional vertebra of the lumbosacral spine: its radiological classification, incidence, prevalence, and clinical significance. Rheumatol Rehabil. 1977;16:180–5.
Bron JL, van Royen BJ, Wuisman PIJM. The clinical significance of lumbosacral transitional anomalies. Acta Orthop Belg. 2007 Dec;73(6):687–95.
Delport EG, Cucuzzella TR, Kim N, Marley J, Pruitt C, Delport AG. Lumbosacral transitional vertebrae: incidence in a consecutive patient series. Pain Physician. 2006;9:53–6.
Castellvi AE, Goldstein LA, Chan DP. Lumbosacral transitional vertebrae and their relationship with lumbar extradural defects. Spine Phila Pa 1976. 1984;9:493–5.
Vergauwen S, Parizel PM, van Breusegem L, Van Goethem JW, Nackaerts Y, Van den Hauwe L, et al. Distribution and incidence of degenerative spine changes in patients with a lumbo-sacral transitional vertebra. Eur Spine J. 1997;6:168–72.
Elster AD. Bertolotti’s syndrome revisited. Transitional vertebrae of the lumbar spine. Spine Phila Pa 1976. 1989;14:1373–7.
Quinlan JF, Duke D, Eustace S. Bertolotti’s syndrome. A cause of back pain in young people. J Bone Jt Surg Br. 2006;88:1183–6.
Olofin. Incidence of lumbosacral transitional vertebrae in low back pain patients. West Afr J Radiol. 2001;8(1):1–6.
Hsieh CY, Vanderford JD, Moreau SR, Prong T. Lumbosacral transitional segments: classification, prevalence, and effect on disk height. J Manip Physiol Ther. 2000;23:483–9.
Farshad-Amacker NA, Lurie B, Herzog RJ, Farshad M. Interreader and intermodality reliability of standard anteroposterior radiograph and magnetic resonance imaging in detection and classification of lumbosacral transitional vertebra. Spine J [Internet]. 2013 Oct [cited 2014 Apr 5]; Available from: http://linkinghub.elsevier.com/retrieve/pii/S1529943013014964
Otani K, Konno S, Kikuchi S. Lumbosacral transitional vertebrae and nerve-root symptoms. J Bone Jt Surg Br. 2001;83:1137–40.