Lumbosacral transitional vertebrae and low back pain

Bull Hosp Jt Dis. 1999;58(4):191-3.


The correlation between lumbosacral transitional vertebrae and low back pain was analyzed in a study of plain radiographs from normal subjects and patients with chronic low back pain. Of 184 normal subjects, only 29 (15.8%) had transitional vertebrae, while 97 (35.1%) of 276 patients were noted to have transitional vertebrae. The difference was highly significant (p < 0.01). The incidence of Castellvi type II transitional vertebrae was significantly higher in patients with low back pain than in controls (p < 0.01). This study indicates the etiologic significance of lumbosacral transitional vertebra in low back pain.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Case-Control Studies
  • Chronic Disease
  • Female
  • Humans
  • Low Back Pain / etiology*
  • Lumbar Vertebrae / abnormalities*
  • Lumbar Vertebrae / diagnostic imaging
  • Male
  • Middle Aged
  • Radiography