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Die unzureichende Bekanntheit dieser Anomalie f\u00fchrt oft zu einer verz\u00f6gerten Diagnosestellung und Therapie.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ziel der Arbeit<\/jats:title>\n            <jats:p>Diese Arbeit erl\u00e4utert die anatomischen und biomechanischen Grundlagen des Bertolotti-Syndroms und diskutiert Diagnostik- und Therapiem\u00f6glichkeiten.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Material und Methoden<\/jats:title>\n            <jats:p>Diese systematische \u00dcbersichtsarbeit wurde gem\u00e4\u00df den PRISMA-Richtlinien (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) durchgef\u00fchrt. Die SCOPE-Kriterien (Structuring Comparative Outcome Reporting in Epidemiology) wurden ber\u00fccksichtigt, um eine umfassende und transparente Berichterstattung zu gew\u00e4hrleisten. Eine systematische Recherche wurde in PubMed mit den Suchbegriffen \u201eBertolotti\u201c und \u201eBertolotti syndrome\u201c und \u201elumbosacral transitional vertebrae\u201c durch eine Untersucherin durchgef\u00fchrt und 112 Studien eingeschlossen. Artikel, die nicht in englischer oder deutscher Sprache verf\u00fcgbar waren, wurden ausgeschlossen.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ergebnisse<\/jats:title>\n            <jats:p>Patienten mit einem symptomatischen Bertolotti-Syndrom leiden h\u00e4ufig an chronischen lumbalen R\u00fcckenschmerzen, ggf. mit Radikulopathien. Bildgebende Verfahren, insbesondere R\u00f6ntgen, MRT und CT, spielen eine Schl\u00fcsselrolle bei der Diagnose. Konservative Therapien zeigen nur begrenzten Erfolg, v.\u202fa. in F\u00e4llen, in denen die Fehlbildung nicht in das Therapiekonzept integriert wird. Operative Alternativen umfassen die operative Entfernung des Neoarthrosspaltes, eine Fusion des betroffenen Segmentes und im Einzelfall auch Neuromodulationstechniken.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Diskussion<\/jats:title>\n            <jats:p>Die Wahl der Behandlung h\u00e4ngt von der Beschwerdekonstellation des Patienten, der individuellen Anatomie und dem Vorhandensein symptomatischer degenerativer Ver\u00e4nderungen von Neoarthros, Facettengelenken, Bandscheiben, Iliosakralgelenk und Neuroforamen ab. W\u00e4hrend konservative Ma\u00dfnahmen initial empfohlen werden, zeigt die Processektomie bei sorgf\u00e4ltiger Auswahl der Patienten vielversprechende Ergebnisse. Fusionsoperationen und Neuromodulationstechniken sind Alternativen. Die vorhandene Evidenz ist sp\u00e4rlich. Weitere Studien sind notwendig, um die Wirksamkeit der einzelnen Therapieoptionen f\u00fcr bestimmte Subgruppen besser bewerten zu k\u00f6nnen.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00132-025-04656-1","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T14:59:39Z","timestamp":1745938779000},"page":"558-565","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Das Bertolotti-Syndrom: eine unterdiagnostizierte Ursache f\u00fcr spezifischen R\u00fcckenschmerz","Bertolotti syndrome: an often overlooked cause of specific back pain"],"prefix":"10.1007","volume":"54","author":[{"given":"Anna-Lena","family":"Hauser","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Von Glinski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier Fernando","family":"Noriega Urena","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Lange","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samira","family":"Murad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guido","family":"Lewik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Schulte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,4,29]]},"reference":[{"key":"4656_CR1","doi-asserted-by":"publisher","first-page":"42","DOI":"10.14444\/2042","volume":"9","author":"JM Jancuska","year":"2015","unstructured":"Jancuska\u00a0JM, Spivak\u00a0JM, Bendo\u00a0JA (2015) A\u00a0Review of Symptomatic Lumbosacral Transitional Vertebrae: Bertolotti\u2019s Syndrome. 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