Trakolis Leonidas, Petridis Athanasios K
Department of Neurosurgery, St. Luke Hospital, Thessaloniki, Greece.
Heinrich Heine University Medical School Düsseldorf, Düsseldorf, Germany.
J Neurosurg Case Lessons. 2024 Aug 26;8(9). doi: 10.3171/CASE24301.
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. Numerous reports have described the dismay of surgeons during discectomy in patients with a conjoined nerve root. Many surgical techniques have been suggested but without the good results following typical discectomies.
In this case report, the authors describe a 53-year-old female patient who presented with radicular pain due to a large disc herniation at the level of L5-S1 on the left side. Intraoperatively, the authors identified a conjoined nerve root, forcing them to employ a novel approach with very good results.
In some cases, the only possible way to remove a disc herniation is the contralateral approach, as described in this report. https://thejns.org/doi/10.3171/CASE24301.
联合神经根是一种罕见的病症，有多种变异形式。诊断可能具有挑战性，尤其是当该病症与其他病理状况并存时。在椎间盘突出影响这些神经根的情况下，外科医生的任何误判或经验不足都可能对其造成不可逆转的损伤。许多报告都描述了在对联合神经根患者进行椎间盘切除术时外科医生的沮丧心情。已经提出了许多手术技术，但在典型的椎间盘切除术后效果不佳。
在本病例报告中，作者描述了一名53岁女性患者，因左侧L5 - S1水平的巨大椎间盘突出而出现神经根性疼痛。术中，作者发现了一条联合神经根，这迫使他们采用了一种新颖的方法并取得了很好的效果。
在某些情况下，如本报告所述，切除椎间盘突出的唯一可行方法是对侧入路。https://thejns.org/doi/10.3171/CASE24301 。
