What question did this study set out to answer?

The aim is to outline an effective diagnostic methodology for identifying lumbosacral transitional vertebrae (LSTV).

March 12, 2026Pain Practice1 citationsOpen Access

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

PAPedro Andrade‐AndradeUniversidad de Los Andes JAJuan Carlos Acevedo‐GonzálezPontificia Universidad Javeriana

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.

Abstract

Our proposed diagnostic methodology for LSTV includes: first, using plain AP radiography for cranial-to-caudal vertebral numbering and evaluating morphological anomalies. Second, if LSTV is suspected, performing CT as the gold standard for diagnosis due to its high sensitivity and specificity, and measuring spinopelvic parameters to correlate with LSTV. Third, using MRI in special cases. Fourth, conducting a morphological analysis and using Jenkins' classification for LSTV categorization.

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