Radiologic Insights: Diagnosing Lumbosacral Transitional Vertebrae. Systematic Review of the Literature

March 1, 2026Pain PracticeOpen Access

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Key Points

The aim is to outline an effective diagnostic methodology for identifying lumbosacral transitional vertebrae (LSTV).
Conducting plain AP radiography for vertebral numbering and evaluating anomalies.
Performing CT scans as the gold standard for LSTV diagnosis due to high sensitivity and specificity.
Using MRI in select cases for further examination.
Employing Jenkins' classification for morphological analysis and categorization.
Proposed methodology emphasizes the importance of CT in diagnosis due to its accuracy.
Plain radiography effectively identifies vertebral anomalies.
Spinopelvic parameters provide valuable correlational data for LSTV.

This systematic review explores diagnostic methods for identifying lumbosacral transitional vertebrae, suggesting implications for clinical practice.

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Andrade‐Andrade et al. (2026) studied this question.

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