Prevalencia de vértebra transicional lumbosacra en radiografía anteroposterior y lateral de columna lumbar en pacientes de 15 a 70 años en Medimagen - Cuenca, 2019 – 2021

Abstract

Background: Lumbosacral transitional vertebra (LSTV) is a rare congenital peculiarity, which comprises sacralized fifth lumbar vertebra (L5) or lumbarized first sacral vertebra (S1). Anteroposterior and lateral radiograph of the lumbar spine is one of the first diagnostic methods (1). Objective: To determine the prevalence of lumbosacral transitional vertebra diagnosed by anteroposterior and lateral radiograph of the lumbar spine in Medimagen patients aged 15 to 70 years old in Cuenca. Methodology: Quantitative, featuring a descriptive, cross-sectional, and retrospective study. The sample comprises all the radiological reports of patients who required an anteroposterior and lateral radiograph of the lumbar spine and were diagnosed with lumbosacral transitional vertebra at Medimagen-Cuenca Diagnostic Imaging Center. The information extracted was analyzed according to the study variables. Data was tabulated and analyzed using IBM SPSS Statistics 25.0 and Microsoft Excel 2018. Results: 1,435 reports were analyzed, 216 (15.05%) indicated VTLS, of which 127 (58.8%) were male; the largest type was Castellvi II, with 78 (36.11%) reports; the predominant subtype was Castellvi IIa, with 63 reports (29.17%); age range 37 to 47 years showed a greater prevalence, with 58 (26.85%) reports. Conclusions: LSTV is present in men mainly, and Castellvi type Il and subtype Ila are the most prevalent in the age range 37 to 47 years.