Lumbosacral Transitional Vertebra Diagnosed on 99mTc-Methylene Diphosphonate SPECT/CT

J Nucl Med Technol. 2015 Jun;43(2):137-8. doi: 10.2967/jnmt.114.146639. Epub 2015 Feb 5.


Lumbosacral transitional vertebra (LSTV) is a congenital anomaly of the lumbosacral junction. The association between back pain and LSTV is controversial; however, in our patient the symptoms localized to a hemisacralized left transverse process of L5. LSTV should be included in the differential diagnosis in young patients with lower back pain, and scintigraphic imaging should be considered for diagnostic purposes.

Keywords: Bertolloti syndrome; SPECT; SPECT/CT; bone; lumbosacral transitional vertebra.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Female
  • Humans
  • Lumbosacral Region / diagnostic imaging
  • Multimodal Imaging*
  • Spine / abnormalities*
  • Spine / diagnostic imaging
  • Technetium Tc 99m Medronate*
  • Tomography, Emission-Computed, Single-Photon*
  • Tomography, X-Ray Computed*


  • Technetium Tc 99m Medronate