Pediatric Back Pain Associated with Bertolotti Syndrome: A Report of 3 Cases with Varying Treatment Strategies.

Lumbosacral transitional vertebrae are congenital anomalies spanning a spectrum from partial/complete L5 sacralization to partial/complete S1 lumbarization with varying clinical presentations. Identification of variable anatomy and symptoms guides surgical management. We present 3 cases with differing surgical techniques including pseudoarticulation resection, arthrodesis of the involved levels, and neuroforaminal decompression.