Journal of Clinical Case Reports

Conquering the Challenge: Bertolotti Syndrome and a Cyclist\'s Path to Recovery

Abstract

Baptiste Verstraete*, Arne Decramer and Bruno Vanhecke

The Bertolotti syndrome is a rarely recognized cause of low back pain, attributed to a congenital anomaly in the formation of the transverse
processes of L5. This case report details the experience of a 22-year-old professional cyclist who transitioned from persistent low back pain to
ultimately undergoing a successful surgical intervention for Type IIa Bertolotti syndrome. The initial conservative approaches, including exercise
therapy and infiltrations, yielded temporary relief. Subsequent surgical intervention resulted in significant and sustained pain relief, enabling
the cyclist to resume professional cycling. The Bertolotti syndrome, rarely acknowledged as a cause of low back pain, necessitates accurate
identification for appropriate management. A step-up conservative therapy plan is strongly favoured before considering surgery. However, this case
highlights successful surgical outcome in a professional athlete and underscores the importance of individualized management.