Abstract

Existing classification systems for spinal nerve root anomalies are numerous and substantially different from one another. Spinal nerve root abnormalities are known to be congenital deformities[1][1] and are perceived to be the result of incorrect migration of nerve fibers, causing structural and

Highlights

  • All the classifications describe similar processes (Figure)

  • (2020) classification update can be attributed to Haviarová et al.[8]

  • We propose a unified classification based on type of deformity and localization (Table)

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Summary

Introduction

All the classifications describe similar processes (Figure). we propose a unified classification based on type of deformity and localization (Table). In 1962, Cannon et al first identified the 3 most common variations of nerve root anomalies: conjoined Type I, anastomosed Type II, and transverse Type III.[1,2] In 1982, Postacchini et al classified common spinal nerve root abnormalities into 5 different variations.[3] In 1983, Neidre and MacNab expanded Cannon’s classification based on the angle and positioning of root emergence.[5] In 1984, Kadish and Simmons introduced a classification system based on anatomic and radiologic findings.[6] Chotigavanich and Sawangnatra provided a unified classification in 1992.7 The most recent (2020) classification update can be attributed to Haviarová et al.[8] All the classifications describe similar processes (Figure).

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