Adil Aziz, Atif Kazmi, Sadia Khan, Sameen Shoaib.
Conjoined lumbosacral nerve roots: A Case Report and review of literature.
Pak J Surg Jan ;28(2):160-2.

Lumbosacral nerve root anomalies are a rare group of congenital anatomical anomalies. Various types of anomalies of the lumbosacral nerve roots have been documented in the available international literature.Th ese anomalies may consist of a bifi d, conjoined structure, of a transverse course or of a characteristic anastomized appearance. A 52-year old lady who presented to us, with complaints of lower backache, radiating to the lower limbs for the last 2 years, was admitt ed. Examination showed, restriced SLR and sensory loss at RT L4-L5 dermatome. A standard plain lumbosacral MRI was performed. Sagital MRI did not demonstrate any disc herniation. Th e axial MRI images showed a conjoined nerve root at L4-L-5 bilaterally . L4 right hemilaminectomy plus fl avectomy without discectomy was done. Postoperative course was uneventful and the patient was discharged ameliorated in his neurological status on day 7th, aft er operation.

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