title: Co-occurrence of lumbar spondylolysis and lumbar disc herniation with lumbosacral nerve root anomaly.
abstract: Lumbosacral nerve root anomalies are the leading cause of lumbar surgery failures. Although co-occurrence of lumbar spondylolysis and disc herniation is common, it is very rare to observe that a nerve root anomaly accompanies these lesions. A 49-year-old male patient presented with sudden-onset right leg pain. Examinations revealed L5/S1 lumbar spondylolysis and disc herniation. At preoperative period, he was also diagnosed with lumbosacral root anomaly. Following discectomy and root decompression, stabilization was performed. The complaints of the patient diagnosed with lumbosacral root anomaly at intraoperative period were improved at postoperative period. It should be remembered that in patients with lumbar disc herniation and spondylolysis, lumbar root anomalies may coexist when clinical and neurological picture is severe. Preoperative and perioperative assessments should be made meticulously to prevent neurological injury.
authors.affiliation: Department of Neurosurgery, Faculty of Medicine, Dicle University, Yenişehir 21280, Diyarbakır, Turkey.
authors.forename: Tevfik
authors.initials: T
authors.lastname: Yılmaz
authors.affiliation: Department of Neurosurgery, Faculty of Medicine, Dicle University, Yenişehir 21280, Diyarbakır, Turkey.
authors.forename: Yahya
authors.initials: Y
authors.lastname: Turan
authors.affiliation: Department of Neurosurgery, School of Medicine, Yüzüncü Yıl University, Van, Turkey.
authors.forename: Ismail
authors.initials: I
authors.lastname: Gülşen
authors.affiliation: Department of Neurosurgery, Neurospinal Academy, Istanbul, Turkey.
authors.forename: Sedat
authors.initials: S
authors.lastname: Dalbayrak
keywords: Coronal magnetic resonance imaging; lumbar disc hernia; root anomaly; spondylolysis