Work

Lumbar endoscopic decompression in the presence of unexpected conjoined nerve root pathology: technical benefits and case illustrations

Year: 2025

Type: article

Abstract: Conjoined nerve roots (CNRs) represent a common yet frequently underdiagnosed congenital anomaly of the lumbar spine that increases the risk of iatrogenic injury. We present two cases of incidentally discovered CNRs successfully managed with full endoscopic spine surgery (ESS). While often missed on preoperative imaging, ESS provides a distinct advantage in managing these variants due to its magnified, high-definition visualization through a minimally invasive approach. This technique allows for the precise identification and safe decompression of unexpected CNRs, serving as both a diagnostic and therapeutic tool. The enhanced clarity and anatomical preservation offered by ESS highlight its vital role in navigating anomalous anatomy, positioning it as a cornerstone for the future of minimally invasive spine surgery.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf995

Authors: Ralph J Mobbs, Edwin H Y Lui

Institutions: UNSW Sydney, Prince of Wales Hospital

Language: English

Topic: Spine and Intervertebral Disc Pathology

Subfield: Pathology and Forensic Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000