Middle aged lady with low back ache. To rule out urolithiasis.
Non contrast CT abdomen
Diarthrodial L5 vertebral body which has two articular margins, one through the L5-S1 body articulation, another anomalous one through the right transverse process. Sclerosis also seen involving the iliac portion of bilateral sacroliliac joints. No urolithiasis.
- Transitional vertebrae are a cause of lower abdominal / low back ache in comparison to normal individuals. The extra articular surface and the secondary osteodegeneration of that joint limiting ipsilateral mobility is responsible.
- Multiple classifications are available for lumbosacral transitional vertebrae.