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Aberrant Root Compression due to Lumbar Disc Herniation Case Reports

Cilt: 47 Sayı: 3 30 Eylül 2025
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Aberrant Root Compression due to Lumbar Disc Herniation Case Reports

Abstract

ABSTRACT Introduction Lumbosacral nerve root anomalies (NRA) are rare congenital anomalies with an incidence of 0.34%-14% in the general population. These anomalies are often undetected preoperatively and are typically identified intraoperatively, posing a risk for iatrogenic nerve root injury. Preoperative detection via MRI is crucial for surgical planning and prevention of complications. Case Reports Case 1. A 42-year-old male patient presented with left hip and leg pain. Neurological examination revealed an absent left Achilles tendon reflex without muscle strength deficits. MRI showed L5-S1 disc herniation, and lumbar microdiscectomy was planned. During surgery, the L5 and S1 nerve roots were observed to be closely positioned, with the disc fragment compressing the S1 root. The fragment was removed, and the patient fully recovered postoperatively. Case 2. A 37-year-old male patient presented with pain in the left leg and weakness in the left foot. Low foot was present in the left ankle. MRI showed left L5-S1 disc herniation. Lumbar microsurgery operation was planned. During the operation, it was observed that the L5 and S1 nerve roots, which originated from the same root, were very observed to be closely positioned. The disc compressing the L5 root axilla and S1 root shoulder was observed and the disc fragment was removed. Discussion NRA result from abnormal root migration during embryological development. Postacchini’s classification is commonly used, and this case corresponds to Type 3. Diagnostic challenges can arise due to the lack of coronal MRI sections. Surgical approaches should minimize root retraction, and advancements in microdiscectomy techniques provide effective treatment options. Conclusion Spinal root anomalies are rare and often overlooked conditions. Careful preoperative evaluation and precise microdiscectomy techniques are essential to avoid intraoperative iatrogenic injuries.

Keywords

Kaynakça

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Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Hizmetleri ve Sistemleri (Diğer)

Bölüm

Olgu Sunumu

Yazarlar

Yayımlanma Tarihi

30 Eylül 2025

Gönderilme Tarihi

27 Nisan 2025

Kabul Tarihi

19 Haziran 2025

Yayımlandığı Sayı

Yıl 2025 Cilt: 47 Sayı: 3

IZ

https://izlik.org/JA47NN48LU

Kaynak Göster

RIS / Bibtex
AMA
1.Karagöz GA, Araç D, İzci EK, Keskin F. Aberrant Root Compression due to Lumbar Disc Herniation Case Reports. CMJ. 2025;47(3):39-42. https://izlik.org/JA47NN48LU