What is the prognosis of sacralization of L5 vertebrae

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I have seen many kinds of sacralisations in clinical practice. Complete sacralisation: usually less problematic. Incomplete sacralisation: A pseudo joint is formed at the articulation of sacrum and L5 transverse process This joint can develop arthritis and become painful Hemisacralisation: sometimes associated with scoliosis or spine tilt Cause asymmetric loading and can cause chronic low back pain Sacralisation related back pain usually manifest later in life. It is asymptomatic in children and young people Activity modification and postural advise will help
The prognosis depends on type of Sacralization. * associated low back pain has poor prognosis * unilateral Sacralization causes one side hypomobility whereas bilateral caused significant hypomobility at the joint. * secondary hypermobility is present at upper lumbar spine to compensate the hypomobility at Sacralization site, causing overuse and poor posture.
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Sacralization is a common irregularity of the spine, where the fifth vertebra is fused to the sacrum bone at the bottom of the spine. The fifth lumbar vertebra, known as L5, may fuse fully or partially on either side of the sacrum, or on both sides. Sacralization is a congenital anomaly that occurs in the embryo. Low back pain is ths only known outcome.
Thank you doctor
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