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J Chiropr Med. 2012 Dec;11(4):254-9. doi: 10.1016/j.jcm.2012.02.005.

Chiropractic management of a patient with low back pain and Castellvi type II lumbosacral transitional vertebrae.

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1
Chiropractor, Private Practice, Hamilton, Ontario, Canada.

Abstract

OBJECTIVE:

The purpose of this study is to report the chiropractic management of a patient with low back pain and Castellvi type II lumbosacral transitional vertebrae (LSTV).

CLINICAL FEATURES:

A patient with previously undiagnosed LSTV presented with moderate low back pain.

INTERVENTIONS AND OUTCOME:

Manual therapy, soft tissue therapy, and exercise/stretching were included in the initial treatment plan. Following a short course of treatment, the presenting symptoms resolved; however, they returned after 3 symptom-free months. At that time, radiographs were ordered and the LSTV were identified. Following another course of chiropractic care, the patient's symptoms resolved.

CONCLUSIONS:

Chiropractic management resulted in resolution of symptoms for this patient with LSTV.

KEYWORDS:

Chiropractic congenital abnormalities; Lumbar vertebrae; Lumbosacral region

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