Although @entity7687 are present in 5 to 7% of the population at large, their clinical relevance remains a matter of debate. Articulation between the L5 transverse process and the sacrum or ilium has been implicated as a cause of @entity1643 . OBJECTIVE: To define symptoms and effects of @entity134 injections in @entity1 with an articulation between a L5 transverse process and the sacrum or ilium. @entity1 AND METHODS: @entity1 with @entity1643 and an expanded L5 transverse process articulating with the sacrum or ilium were studied retrospectively. @entity1 with an expanded transverse process that did not articulate with the sacrum or ilium were excluded. Demographic data, symptoms, physical findings and results of investigations were recorded. Efficacy of @entity134 injections into the @entity7687 performed under fluoroscopic monitoring was evaluated in the short, medium and long term. RESULTS: Twelve @entity1 (seven @entity1 and five @entity1 ) with a mean age of 41.1 years (17-90 years) and a mean time since symptom onset of 1.9 years (0.2-4 years) were studied. All 12 @entity1 reported @entity158 on the side of the @entity7687 (left, n = 10), either in the low back (n = 6) or in the buttock (n = 6). Eight @entity1 had @entity158 radiation to all (n = 1) or part (n = 7) of the lower limb on the same side. One @entity1 had mild motor loss (4/5) and another had @entity809 in the foot. Radiographs were obtained in all 12 @entity1 , computed tomography in six, magnetic resonance imaging in two, myelography in two, a bone scan in two and an electromyogram in one. Three of the 11 @entity1 treated by @entity134 injection experienced @entity158 during the procedure. Ten @entity1 were improved in the short term and nine reported a 50% decrease in their @entity158 after one month. Of the eight @entity1 who were reevaluated after six to 24 months, seven were improved or free of symptoms and one was unchanged. CONCLUSION: An anomalous transitional articulation should be considered as a possible factor in the genesis of @entity1643 in @entity1 who do not have the @entity179 classically responsible for this symptom. Local @entity134 injections should be tried before surgery is considered.

Can an anomalous lumbo-sacral or lumbo-iliac articulation cause XXXX ? A retrospective study of 12 cases.

@entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'patients', 'patient', 'PATIENTS', 'men'] @entity1643 :: ('MESH:D017116', 'Disease') :: ['low back pain'] @entity809 :: ('MESH:D010292', 'Disease') :: ['paresthesia'] @entity134 :: ('CHEBI:35341', 'Chemical') :: ['steroid'] @entity179 :: ('MESH:D019636', 'Disease') :: ['degenerative lesions'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity7687 :: ('MESH:D001184', 'Disease') :: ['anomalous articulation', 'anomalous lumbo-sacral articulations']
@entity1643 :: (MESH:D017116,Disease) :: ['low back pain']
