Conjoined lumbar nerve roots: a frequently underappreciated congenital abnormality
Nerve root anomalies are frequently underrecognized on advanced imaging studies and may account for some percentage of failed spinal surgical procedures. The conjoined nerve root represents the most common nerve root anomaly. It is a well-known cause of false-positive readings for bulging and hernia...
Gespeichert in:
| Veröffentlicht in: | Journal of spinal disorders 2004-04, Vol.17 (2), p.86-93 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 93 |
|---|---|
| container_issue | 2 |
| container_start_page | 86 |
| container_title | Journal of spinal disorders |
| container_volume | 17 |
| creator | Scuderi, Gaetano J Vaccaro, Alexander R Brusovanik, Georgiy V Kwon, Brian K Berta, Scott C |
| description | Nerve root anomalies are frequently underrecognized on advanced imaging studies and may account for some percentage of failed spinal surgical procedures. The conjoined nerve root represents the most common nerve root anomaly. It is a well-known cause of false-positive readings for bulging and herniated disks in patients with purely axial neuroimaging studies. A retrospective evaluation of consecutive microsurgical lumbar diskectomies in 80 patients during a 5-year period was undertaken. A total of four patients (5%) were found intraoperatively to have evidence of a conjoined nerve root by the classification of Neidre. None was diagnosed preoperatively. Coronal magnetic resonance imaging offers the best means of visualizing a conjoined nerve root. The chance for a successful operation can be significantly enhanced if the surgeon is prepared to encounter this pathology. |
| doi_str_mv | 10.1097/00024720-200404000-00002 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_66718378</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>66718378</sourcerecordid><originalsourceid>FETCH-LOGICAL-c256t-64c35382eb83eaaac9263300892e6a74a8b3d24fc4bbcde1d13f139c5dcdb6b3</originalsourceid><addsrcrecordid>eNpFkFtLxDAQhfOguOvlL0iefKtOkjZtfZPFGywIsu8hl6l0aZOatML-e7vuqszDgeGcmcNHCGVwy6Au7wCA5yWHjAPk8wBksN-dkCUrhMxAFnxBzlPaArBS5PkZWbCCS4CqXpL3VfDb0Hp0tJt6oyP1GL-QxhDGdE81bSJ-TujHbkcn7zDqYYhoWz3OCRv8B_p21B3VxofY664dd5fktNFdwqujXpDN0-Nm9ZKt355fVw_rzPJCjpnMrShExdFUArXWtuZSiH0rjlKXua6McDxvbG6MdcgcEw0TtS2cdUYacUFuDmeHGOaGaVR9myx2nfYYpqSkLFklymo2VgejjSGliI0aYtvruFMM1B6h-kWo_hCqH4Rz9Pr4YzI9uv_gkZ_4Bgx4cCM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>66718378</pqid></control><display><type>article</type><title>Conjoined lumbar nerve roots: a frequently underappreciated congenital abnormality</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Scuderi, Gaetano J ; Vaccaro, Alexander R ; Brusovanik, Georgiy V ; Kwon, Brian K ; Berta, Scott C</creator><creatorcontrib>Scuderi, Gaetano J ; Vaccaro, Alexander R ; Brusovanik, Georgiy V ; Kwon, Brian K ; Berta, Scott C</creatorcontrib><description>Nerve root anomalies are frequently underrecognized on advanced imaging studies and may account for some percentage of failed spinal surgical procedures. The conjoined nerve root represents the most common nerve root anomaly. It is a well-known cause of false-positive readings for bulging and herniated disks in patients with purely axial neuroimaging studies. A retrospective evaluation of consecutive microsurgical lumbar diskectomies in 80 patients during a 5-year period was undertaken. A total of four patients (5%) were found intraoperatively to have evidence of a conjoined nerve root by the classification of Neidre. None was diagnosed preoperatively. Coronal magnetic resonance imaging offers the best means of visualizing a conjoined nerve root. The chance for a successful operation can be significantly enhanced if the surgeon is prepared to encounter this pathology.</description><identifier>ISSN: 1536-0652</identifier><identifier>ISSN: 0895-0385</identifier><identifier>DOI: 10.1097/00024720-200404000-00002</identifier><identifier>PMID: 15260089</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Humans ; Intervertebral Disc Displacement - pathology ; Intervertebral Disc Displacement - surgery ; Intraoperative Complications - etiology ; Intraoperative Complications - prevention & control ; Lumbar Vertebrae ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Myelography ; Retrospective Studies ; Spinal Nerve Roots - abnormalities ; Spinal Nerve Roots - diagnostic imaging</subject><ispartof>Journal of spinal disorders, 2004-04, Vol.17 (2), p.86-93</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-64c35382eb83eaaac9263300892e6a74a8b3d24fc4bbcde1d13f139c5dcdb6b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15260089$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Scuderi, Gaetano J</creatorcontrib><creatorcontrib>Vaccaro, Alexander R</creatorcontrib><creatorcontrib>Brusovanik, Georgiy V</creatorcontrib><creatorcontrib>Kwon, Brian K</creatorcontrib><creatorcontrib>Berta, Scott C</creatorcontrib><title>Conjoined lumbar nerve roots: a frequently underappreciated congenital abnormality</title><title>Journal of spinal disorders</title><addtitle>J Spinal Disord Tech</addtitle><description>Nerve root anomalies are frequently underrecognized on advanced imaging studies and may account for some percentage of failed spinal surgical procedures. The conjoined nerve root represents the most common nerve root anomaly. It is a well-known cause of false-positive readings for bulging and herniated disks in patients with purely axial neuroimaging studies. A retrospective evaluation of consecutive microsurgical lumbar diskectomies in 80 patients during a 5-year period was undertaken. A total of four patients (5%) were found intraoperatively to have evidence of a conjoined nerve root by the classification of Neidre. None was diagnosed preoperatively. Coronal magnetic resonance imaging offers the best means of visualizing a conjoined nerve root. The chance for a successful operation can be significantly enhanced if the surgeon is prepared to encounter this pathology.</description><subject>Adult</subject><subject>Humans</subject><subject>Intervertebral Disc Displacement - pathology</subject><subject>Intervertebral Disc Displacement - surgery</subject><subject>Intraoperative Complications - etiology</subject><subject>Intraoperative Complications - prevention & control</subject><subject>Lumbar Vertebrae</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myelography</subject><subject>Retrospective Studies</subject><subject>Spinal Nerve Roots - abnormalities</subject><subject>Spinal Nerve Roots - diagnostic imaging</subject><issn>1536-0652</issn><issn>0895-0385</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkFtLxDAQhfOguOvlL0iefKtOkjZtfZPFGywIsu8hl6l0aZOatML-e7vuqszDgeGcmcNHCGVwy6Au7wCA5yWHjAPk8wBksN-dkCUrhMxAFnxBzlPaArBS5PkZWbCCS4CqXpL3VfDb0Hp0tJt6oyP1GL-QxhDGdE81bSJ-TujHbkcn7zDqYYhoWz3OCRv8B_p21B3VxofY664dd5fktNFdwqujXpDN0-Nm9ZKt355fVw_rzPJCjpnMrShExdFUArXWtuZSiH0rjlKXua6McDxvbG6MdcgcEw0TtS2cdUYacUFuDmeHGOaGaVR9myx2nfYYpqSkLFklymo2VgejjSGliI0aYtvruFMM1B6h-kWo_hCqH4Rz9Pr4YzI9uv_gkZ_4Bgx4cCM</recordid><startdate>20040401</startdate><enddate>20040401</enddate><creator>Scuderi, Gaetano J</creator><creator>Vaccaro, Alexander R</creator><creator>Brusovanik, Georgiy V</creator><creator>Kwon, Brian K</creator><creator>Berta, Scott C</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040401</creationdate><title>Conjoined lumbar nerve roots: a frequently underappreciated congenital abnormality</title><author>Scuderi, Gaetano J ; Vaccaro, Alexander R ; Brusovanik, Georgiy V ; Kwon, Brian K ; Berta, Scott C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-64c35382eb83eaaac9263300892e6a74a8b3d24fc4bbcde1d13f139c5dcdb6b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Humans</topic><topic>Intervertebral Disc Displacement - pathology</topic><topic>Intervertebral Disc Displacement - surgery</topic><topic>Intraoperative Complications - etiology</topic><topic>Intraoperative Complications - prevention & control</topic><topic>Lumbar Vertebrae</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myelography</topic><topic>Retrospective Studies</topic><topic>Spinal Nerve Roots - abnormalities</topic><topic>Spinal Nerve Roots - diagnostic imaging</topic><toplevel>online_resources</toplevel><creatorcontrib>Scuderi, Gaetano J</creatorcontrib><creatorcontrib>Vaccaro, Alexander R</creatorcontrib><creatorcontrib>Brusovanik, Georgiy V</creatorcontrib><creatorcontrib>Kwon, Brian K</creatorcontrib><creatorcontrib>Berta, Scott C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of spinal disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Scuderi, Gaetano J</au><au>Vaccaro, Alexander R</au><au>Brusovanik, Georgiy V</au><au>Kwon, Brian K</au><au>Berta, Scott C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Conjoined lumbar nerve roots: a frequently underappreciated congenital abnormality</atitle><jtitle>Journal of spinal disorders</jtitle><addtitle>J Spinal Disord Tech</addtitle><date>2004-04-01</date><risdate>2004</risdate><volume>17</volume><issue>2</issue><spage>86</spage><epage>93</epage><pages>86-93</pages><issn>1536-0652</issn><issn>0895-0385</issn><abstract>Nerve root anomalies are frequently underrecognized on advanced imaging studies and may account for some percentage of failed spinal surgical procedures. The conjoined nerve root represents the most common nerve root anomaly. It is a well-known cause of false-positive readings for bulging and herniated disks in patients with purely axial neuroimaging studies. A retrospective evaluation of consecutive microsurgical lumbar diskectomies in 80 patients during a 5-year period was undertaken. A total of four patients (5%) were found intraoperatively to have evidence of a conjoined nerve root by the classification of Neidre. None was diagnosed preoperatively. Coronal magnetic resonance imaging offers the best means of visualizing a conjoined nerve root. The chance for a successful operation can be significantly enhanced if the surgeon is prepared to encounter this pathology.</abstract><cop>United States</cop><pmid>15260089</pmid><doi>10.1097/00024720-200404000-00002</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1536-0652 |
| ispartof | Journal of spinal disorders, 2004-04, Vol.17 (2), p.86-93 |
| issn | 1536-0652 0895-0385 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_66718378 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Humans Intervertebral Disc Displacement - pathology Intervertebral Disc Displacement - surgery Intraoperative Complications - etiology Intraoperative Complications - prevention & control Lumbar Vertebrae Magnetic Resonance Imaging Male Middle Aged Myelography Retrospective Studies Spinal Nerve Roots - abnormalities Spinal Nerve Roots - diagnostic imaging |
| title | Conjoined lumbar nerve roots: a frequently underappreciated congenital abnormality |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-08T14%3A14%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Conjoined%20lumbar%20nerve%20roots:%20a%20frequently%20underappreciated%20congenital%20abnormality&rft.jtitle=Journal%20of%20spinal%20disorders&rft.au=Scuderi,%20Gaetano%20J&rft.date=2004-04-01&rft.volume=17&rft.issue=2&rft.spage=86&rft.epage=93&rft.pages=86-93&rft.issn=1536-0652&rft_id=info:doi/10.1097/00024720-200404000-00002&rft_dat=%3Cproquest_cross%3E66718378%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=66718378&rft_id=info:pmid/15260089&rfr_iscdi=true |