Keyhole resection of the anomalous bony junction causing Bertolotti's syndrome. Mr. Rath is one of few UK surgeons offering endoscopic treatment for this rare condition.
Bertolotti's syndrome arises from an anomalous joint formed between an enlarged lumbar transverse process and the sacrum or iliac crest. This creates a source of mechanical low back pain that is often missed on standard investigations. Through an endoscopic approach, Mr. Rath resects the abnormal junction under direct vision, eliminating the painful joint.
You'll attend as a day case. The procedure takes approximately 60–90 minutes. Mr. Rath approaches the anomalous joint from the posterior lumbar region using fluoroscopic and endoscopic guidance to precisely target the abnormal articulation.
We'll see you in recovery and review your comfort before discharge. A follow-up appointment is booked before you leave.
Bertolotti's syndrome is underdiagnosed and undertreated. Mr. Rath has developed specific expertise in identifying and surgically treating this condition. The endoscopic technique reduces the disruption compared with open approaches and allows day-case management.
All risks are discussed thoroughly at your pre-operative consultation.
Day of surgery · Same day discharge
Patients return home the same day, usually within a few hours of the procedure.
Week 1 · 7 days
Rest with short gentle walks. Avoid prolonged sitting or repetitive bending.
Week 2-4 · 21 days
Gradual increase in activity. Physiotherapy begins around week 4 to rebuild core strength. Many patients notice significant reduction in their typical Bertolotti's pain.
Week 6 · 6 weeks
Phase-wise return to normal activity guided by Mr. Rath at the 6-week review.
No. Surgery is reserved for patients who have failed conservative treatment and whose pain is clearly related to the anomalous joint on imaging. Mr. Rath uses diagnostic injections to confirm the source before offering surgery.
The abnormal bony bridge or pseudo-joint between the transverse process of L5 and the sacrum is partially or completely resected, removing the painful motion source.
Online and in-clinic consultations available across the North West.
Book Appointment