Conjoined nerve roots (CNRs) are an uncommon condition often overlooked until surgery, posing significant intraoperative risks. This case report discusses a 21-year-old male diagnosed incidentally with a left lumbosacral CNR involving the fifth lumbar (L5) and first sacral (S1) spinal nerve roots following a work-related back injury, emphasizing the importance of preoperative imaging. Accurate early diagnosis of CNRs can prevent surgical complications and guide appropriate management, highlighting the need for careful preoperative planning and patient education.
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http://dx.doi.org/10.7759/cureus.68436 | DOI Listing |
Orthop Surg
November 2024
Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Anat Sci Int
October 2024
Department of Anatomy II, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa, 920-0293, Japan.
Aberrant muscle bundles of approximately 10 cm in length, running subcutaneously from the posterior surface of sacrum to the iliac crest, were found on both sides of three males among 93 cadavers of anatomical courses for medical students. Since no precedent of this anomaly has been described in the literature, we present its morphology and discuss the significance of this muscle. This muscle originated from the tendinous fibers of the superficial-most layer of the sacral part of thoracolumbar fascia, became muscularized near the posterior superior iliac spine, passed over the origins of the gluteus maximus and medius, and inserted on the iliac crest.
View Article and Find Full Text PDFAm J Case Rep
October 2024
Department of Anesthesiology, American University of Beirut Medical Center, Beirut, Lebanon.
Cureus
September 2024
Translational Medicine/Internal Medicine, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
Conjoined nerve roots (CNRs) are an uncommon condition often overlooked until surgery, posing significant intraoperative risks. This case report discusses a 21-year-old male diagnosed incidentally with a left lumbosacral CNR involving the fifth lumbar (L5) and first sacral (S1) spinal nerve roots following a work-related back injury, emphasizing the importance of preoperative imaging. Accurate early diagnosis of CNRs can prevent surgical complications and guide appropriate management, highlighting the need for careful preoperative planning and patient education.
View Article and Find Full Text PDFJ Neurosurg Case Lessons
August 2024
Department of Neurosurgery, St. Luke Hospital, Thessaloniki, Greece.
Background: A conjoined nerve root is a rare condition with numerous variants. The diagnosis can be challenging, especially when the condition coexists with other pathologies. In cases where a disc herniation affects these nerve roots, any miscalculation or inexperience of the surgeon can irreversibly injure them.
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