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Extradural Connections of the Lumbosacral Nerve Roots

  • Viktor Matejčík
  • Zora Haviarová
  • Roman Kuruc
  • Andrej Šteňo
  • Juraj Šteňo
Chapter

Abstract

Exposed lumbosacral region and its extradural spinal nerve root anomalous anatomy are often the subject of focused attention of many authors. The study results favour those realized on the cadaverous material. Several classifications were proposed aimed on the systemizing the found lumbosacral variations, we suggest also one. Anomalous lumbosacral nerve root anatomy should always be considered by the diagnosing examinations and also management of the lumboischialgic syndrome.

Keywords

Extradural anomaly Lumbosacral region Symptomatology Diagnosis 

References

  1. 1.
    Haiijiao W, Koti M, Smith FW, Wardlaw D. Diagnosis of lumbosacral nerve roots anomalies by magnetic resonance imaging. J Spinal Disord. 2001;14(2):143–9.CrossRefGoogle Scholar
  2. 2.
    Burke SM, Safain MG, Kryzanski J, Riesenburger RI. Nerve root anomalies: implications for transforaminal lumbar interbody fusion surgery and a review of the Neidre and Macnab classification system. Neurosurg Focus. 2013;35(2):E9.CrossRefGoogle Scholar
  3. 3.
    Kilocucni S, Masne M, Nishiyama K, Ito T. Anatomic and clinical studies of radicular symptoms. Spine. 1984;9:23.CrossRefGoogle Scholar
  4. 4.
    Kadish LJ, Simmons EH. Anomalies of the lumbosacral nerve roots. An anatomical investigation and myelographic study. J Bone Joint Surg (Br). 1984;66(3):411–6.CrossRefGoogle Scholar
  5. 5.
    Chotigavanich C, Sawangnatra S. Anomalies of the lumbosacral nerve roots. An anatomic investigation. Clin Orhop Relat Res. 1992;278:46–50.Google Scholar
  6. 6.
    Boden SD, Davis DO, Dina TS, Patronas NJ, Wiesel SW. Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation. J Bone Joint Surg Am. 1990;72(3):403–8.CrossRefGoogle Scholar
  7. 7.
    Rask MR. Anomalous lumbosacral nerve roots associated with spondylolisthesis. Surg Neurol. 1977;8(2):139–40.PubMedGoogle Scholar
  8. 8.
    Postacchini F, Urso S, Ferro L. Lumbosacral nerve-root anomalies. J Bone Joint Surg Am. 1982;64(5):721–9.CrossRefGoogle Scholar
  9. 9.
    Neidre A, Macnab I. Anomalies of the lumbosacral nerve roots. Review of 16 cases and classification. Spine. 1983;8(3):294–9.CrossRefGoogle Scholar
  10. 10.
    Zagnosi C. Reperto di un tipo non conosciuto di anastomosi nervosa delle radici spinali. Atti Soc Med Chir (Padova). 1949;27:48–52.Google Scholar
  11. 11.
    Bedeschi P, Bonola A. Anomalie di origine, di decorso di lungehezza e di diametro delle radici lombari e loro importanza nella patologia dell’ernia del disco. Reumatismo. 1956;8(5):266–80.PubMedGoogle Scholar
  12. 12.
    Ethelberg S, Riishede J. Malformation of lumbar spinal roots and sheaths in the causation of low backache and sciatica. J Bone Joint Surg (Br). 1952;34-B(3):442–6.CrossRefGoogle Scholar
  13. 13.
    Goffin J, Plets C. Association of conjoined and anastomosed nerve roots in the lumbar region. A case report. Clin Neurol Neurosurg. 1987;89(2):117–20.CrossRefGoogle Scholar
  14. 14.
    Scarf FF, Dalman DE, Toleikis JR, Bunch WM. Dermatomal evoked potentials in the diagnosis of lumbar root entrapment. Sur Forum. 1981;32:489–91.Google Scholar
  15. 15.
    Shane M, Burke BS, Nina G, Safain MD, James Kryzanski MD, Ron I, Riesenburger MD. Nerve roots anomalies: implications for transforaminal lumbar interbody fusion surgery and a review of the Neidre and Macnab classification system. Neurosurg Focus. 2013;35(2):E9, p. 1–6.Google Scholar
  16. 16.
    Yilmaz T, Turan Y, Gulsen I, Dalbayrak S. Co-occurrence of lumbar spondylolysis and lumbar disc herniation with lumbosacral nerve root anomaly. J Cardiovertebral Jun Spine. 2014;5:99–101.CrossRefGoogle Scholar
  17. 17.
    Pfeifer J. Neurologie v rehabilitaci. 1.vyd. Praha: Grada Publishing; 2007, 352 p.Google Scholar
  18. 18.
    Bardeen CR, Elting AW. A statistical study of the variations in the formation and position of the lumbo-sacral plexus in man. Anat Anz. 1901;19:209–19.Google Scholar
  19. 19.
    Keon-Cohen B. Abnormal arrangement of the lower lumbar and first sacral nerves within the spinal canal. J Bone Joint Surg (Br). 1968;50(2):261–5.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Viktor Matejčík
    • 1
  • Zora Haviarová
    • 2
  • Roman Kuruc
    • 3
  • Andrej Šteňo
    • 1
  • Juraj Šteňo
    • 1
  1. 1.Department of NeurosurgeryComenius UniversityBratislavaSlovakia
  2. 2.Institute of AnatomyComenius UniversityBratislavaSlovakia
  3. 3.The Health Surveillance AuthorityBratislavaSlovakia

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