Intraoperative conjoined lumbosacral nerve roots associated with spondylolisthesis

Lumbosacral nerve roots anomalies may produce low back pain. These anomalies are reported to be a cause for failed back surgery. They are usually left undiagnosed, especially in endoscopic discectomy techniques. Any surgery for entrapment disorders, performed on a patient with undiagnosed lumbosacra...

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Bibliographic Details
Published inEuropean journal of orthopaedic surgery & traumatology Vol. 23; no. Suppl 1; pp. 115 - 119
Main Authors Popa, Iulian, Poenaru, Dan V., Oprea, Manuel D., Andrei, Diana
Format Journal Article
LanguageEnglish
Published Paris Springer-Verlag 01.07.2013
Springer Nature B.V
Subjects
Adult
Decompression, Surgical - methods
Diskectomy - methods
Female
Humans
Intraoperative Care - methods
Low Back Pain - etiology
Lumbar Vertebrae - pathology
Lumbar Vertebrae - surgery
Lumbosacral Plexus - abnormalities
Lumbosacral Region - diagnostic imaging
Lumbosacral Region - innervation
Lumbosacral Region - surgery
Magnetic Resonance Imaging
Medicine
Medicine & Public Health
Spinal Nerve Roots - abnormalities
Spondylolisthesis - complications
Spondylolisthesis - diagnosis
Spondylolisthesis - physiopathology
Spondylolisthesis - surgery
Surgical Orthopedics
Tomography, X-Ray Computed
Traumatic Surgery
Treatment Outcome
Up-to date Review and Case Report
Spondylolisthesis
Spinal nerve roots anomalies
Conjoined lumbosacral nerve roots
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Summary:Lumbosacral nerve roots anomalies may produce low back pain. These anomalies are reported to be a cause for failed back surgery. They are usually left undiagnosed, especially in endoscopic discectomy techniques. Any surgery for entrapment disorders, performed on a patient with undiagnosed lumbosacral nerve roots anomaly, may lead to serious neural injuries because of an improper surgical technique or decompression. In this report, we describe our experience with a case of L5–S1 spondylolisthesis and associated congenital lumbosacral nerve root anomalies discovered during the surgical intervention, and the difficulties raised by such a discovery. Careful examination of coronal and axial views obtained through high-quality Magnetic Resonance Imaging may lead to a proper diagnosis of this condition leading to an adequate surgical planning, minimizing the intraoperatory complications.
Bibliography:ObjectType-Case Study-3
SourceType-Scholarly Journals-1
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ObjectType-Review-1
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ISSN:1633-8065
1432-1068
DOI:10.1007/s00590-013-1185-2