title: Intraoperative conjoined lumbosacral nerve roots associated with spondylolisthesis.
abstract: 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.
authors: 2nd Orthopedics Department, University of Medicine and Pharmacy Victor Babes, Timisoara, Romania. medexpe@gmail.com
authors: Iulian
authors: I
authors: Popa
authors: Dan V
authors: DV
authors: Poenaru
authors: Manuel D
authors: MD
authors: Oprea
authors: Diana
authors: D
authors: Andrei
mesh_terms: D000328:Adult; D019299:Decompression, Surgical / Q000379:methods*; D017586:Diskectomy / Q000379:methods*; D005260:Female; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D017116:Low Back Pain / Q000209:etiology; D008159:Lumbar Vertebrae / Q000473:pathology / Q000601:surgery; D008160:Lumbosacral Plexus / Q000002:abnormalities*; D008161:Lumbosacral Region / Q000000981:diagnostic imaging / Q000294:innervation / Q000601:surgery; D008279:Magnetic Resonance Imaging; D013126:Spinal Nerve Roots / Q000002:abnormalities*; D013168:Spondylolisthesis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome