Castellvi classification

Übergangsanomalie
thorakolumbal und lumbosakral: Stummelrippen am BWK 12, Teilsakralisation LWK 5 (Castellvi IIb)
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Castellvi
classification of lumbosacral transitional vertebrae • Castellvi classification - illustrations - Ganzer Fall bei Radiopaedia
Skalski M, Castellvi classification - illustrations. Case study, Radiopaedia.org (Accessed on 27 Jan 2023) https://doi.org/10.53347/rID-71256 • CC by-nc-sa 3.0 (modified)
Lumbosacral
transitional vertebra • Lumbosacral transitional vertebra - type Ia - Ganzer Fall bei Radiopaedia
Muniraj, S. Lumbosacral transitional vertebra - type Ia. Case study, Radiopaedia.org. (accessed on 11 Nov 2022) https://doi.org/10.53347/rID-50780 • CC by-nc-sa 3.0 (modified)
Castellvi
classification of lumbosacral transitional vertebrae • Bertolotti syndrome - Ganzer Fall bei Radiopaedia
Al Khateeb A, Bertolotti syndrome. Case study, Radiopaedia.org (Accessed on 27 Jan 2023) https://doi.org/10.53347/rID-44605 • CC by-nc-sa 3.0 (modified)
Castellvi
classification of lumbosacral transitional vertebrae • Lumbosacral transitional vertebra - type IIb - Ganzer Fall bei Radiopaedia
Thapa S, Lumbosacral transitional vertebra - type IIb. Case study, Radiopaedia.org (Accessed on 27 Jan 2023) https://doi.org/10.53347/rID-48253 • CC by-nc-sa 3.0 (modified)
Castellvi
classification of lumbosacral transitional vertebrae • Lumbosacral transitional vertebra - type IIIb - Ganzer Fall bei Radiopaedia
Shah V, Lumbosacral transitional vertebra - type IIIb. Case study, Radiopaedia.org (Accessed on 27 Jan 2023) https://doi.org/10.53347/rID-59068 • CC by-nc-sa 3.0 (modified)
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The Castellvi classification is used for lumbosacral transitional vertebra (LSTV):

  • type I: enlarged and dysplastic transverse process (at least 19 mm)
    • Ia: unilateral
    • Ib: bilateral
  • type II: pseudoarticulation of the transverse process and sacrum with incomplete lumbarization/sacralization; enlargement of the transverse process with pseudoarthrosis
    • IIa: unilateral
    • IIb: bilateral
  • type III: transverse process fuses with the sacrum and there is complete lumbarization or sacralization, enlarged transverse process with complete fusion
    • IIIa: unilateral
    • IIIb: bilateral
  • type IV: type IIa on one side and type III on the contralateral side

History and etymology

This classification system was initially described by Castellvi et al in 1984, in a study examining the association of lumbosacral transitional vertebrae with herniated lumbar discs .

Related pathology

Siehe auch:
Assoziationen und Differentialdiagnosen zu Castellvi classification of lumbosacral transitional vertebrae:
lumbosakrale
Übergangsstörung
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