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Lumbosacral nerve roots anomalies may produce low back pain. These anomalies are reported to be a cause for failed back surgery. They are usually left undiagnosed, especially in endoscopic discectomy techniques. Any surgery for entrapment disorders, performed on a patient with undiagnosed lumbosacral nerve roots anomaly, may lead to serious neural injuries because of an improper surgical technique or decompression. In this report, we describe our experience with a case of L5-S1 spondylolisthesis and associated congenital lumbosacral nerve root anomalies discovered during the surgical intervention, and the difficulties raised by such a discovery. Careful examination of coronal and axial views obtained through high-quality Magnetic Resonance Imaging may lead to a proper diagnosis of this condition leading to an adequate surgical planning, minimizing the intraoperatory complications.

Objective: The current study aims to find the neurological characteristic of thoracolumbar junction fractures as well as the impact of a proper initial neurological assessment onto the treatment management of patients admitted into Timisoara County Clinical Emergency Hospital's Emergency Unit., Materials and Methods: This is a retrospective study based on patients with thoracolumbar fractures between 2004 and 2009. Age, sex, cause and level of injury, fracture pattern and distribution, and neurological presentation of patients were studied., Results: There were 605 patients with predominance of men (59.17 %); the mean age was 32.4 years old. The main cause of the fractures was represented by car accidents (56.2 %), and associated trauma was found in 38.51 % of the patients. The majority of the patients presented with incomplete neurological deficit (45.62 %), whilst 20.66 % suffered from complete neurological deficit., Conclusion: We found a correlation between the fracture level and the neurological deficit, the grade of neurological motor deficit and anal sphincter disorder and stenosis grade in relation to neurological lesions.