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Skryabin E.G.

Tyumen State Medical University

Kicherova O.A.

Tyumen State Medical University

Zotov P.B.

Tyumen State Medical University

Main clinical characteristics of pain in patients with lumbosacral transitional vertebrae

Authors:

Skryabin E.G., Kicherova O.A., Zotov P.B.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2024;124(5): 7‑13

DOI: 10.17116/jnevro20241240517

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To cite this article:

Skryabin EG, Kicherova OA, Zotov PB. Main clinical characteristics of pain in patients with lumbosacral transitional vertebrae. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;124(5):7‑13. (In Russ.)
https://doi.org/10.17116/jnevro20241240517

Подписка 2025 (S.S. Korsakov Journal of Neurology and Psychiatry)
 
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OBJECTIVE

Based on an analysis of modern medical literature, to study the main clinical characteristics of pain in patients with transitional lumbosacral vertebrae.

MATERIAL AND METHODS

A search was made for articles in the scientific electronic libraries CYBERLENINKA, eLIBRARY, Google Scholar, and the electronic database of biomedical publications PubMed. Sixty-eight scientific publications corresponded to the stated goal.

RESULTS

The review of literature shows that the localization of pain in patients with transitional vertebrae corresponds to the zone of pseudarthrosis between the enlarged transverse process of the LV vertebra and the wing of the sacrum. In most patients, the pain is deep, not superficial. Pain intensity ranges from 3.0 to 8.4, reaching an average of 6.0 on the visual analog scale. Pain can radiate to one of the buttocks and the lower limb. The intensity of pain in the leg at the same time, on average, reaches 5.4 points. The pain syndrome can last for months, the course of the disease acquires a sluggish, undulating character with periodic exacerbations. The causes of exacerbations of pain may be excessive loads on the spine, concomitant vertebrogenic diseases and spinal injuries, excess weight, and in women, a history of pregnancy. Pain management can be either conservative or surgical. The scope of conservative treatment consists of using acupuncture and taking non-steroidal anti-inflammatory drugs. The greatest therapeutic effect is achieved with local injection therapy of analgesics and glucocorticoids at the neoarticulation point. The effectiveness of the course of therapeutic blockades reaches a period from several months to a year. The arsenal of surgical techniques includes pseudoartrectomy, radiofrequency denervation, minimally invasive endoscopic surgery, and transpedicular fusion. In most patients, after surgical treatment, complete relief of pain is noted.

CONCLUSION

The review provides information on the predominant localization of pain in patients with transitional vertebrae, its nature, intensity, irradiation, duration, causes of exacerbation, as well as the effectiveness of the methods of conservative and surgical treatment.

Keywords:

pain
lumbosacral transitional vertebrae
clinical characteristics of pain in patients with transitional vertebrae

Authors:

Skryabin E.G.

Tyumen State Medical University

Kicherova O.A.

Tyumen State Medical University

Zotov P.B.

Tyumen State Medical University

Received:

10.01.2024

Accepted:

17.01.2024

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