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The sacral spinal nerve 1 (S1) is a spinal nerve of the sacral segment. [1] It originates from the spinal column from below the 1st body of the sacrum.
The sciatic nerve comprises nerve roots L4, L5, S1, S2, and S3 in the spine. [26] These nerve roots merge in the pelvic cavity to form the sacral plexus and the sciatic nerve branches from that. Sciatica symptoms can occur when there is pathology anywhere along the course of these nerves. [27]
A nerve root (Latin: radix nervi) is the initial segment of a nerve leaving the central nervous system.Nerve roots can be classified as: Cranial nerve roots: the initial or proximal segment of one of the twelve pairs of cranial nerves leaving the central nervous system from the brain stem or the highest levels of the spinal cord.
The lumbar cistern is part of the subarachnoid space.It is the space within the thecal sac which extends from below the end of the spinal cord (the conus medularis), typically at the level of the first to second lumbar vertebrae down to tapering of the dura at the level of the second sacral vertebra.
A disc herniation or spinal disc herniation is an injury to the intervertebral disc between two vertebrae, usually caused by excessive strain or trauma to the spine.It may result in back pain, pain or sensation in different parts of the body, and physical disability.
The Achilles reflex checks if the S 1 and S 2 [3] nerve roots are intact and could be indicative of sciatic nerve pathology. It is classically delayed in hypothyroidism. This reflex is usually absent in disk herniations at the L 5 —S 1 level. A reduction in the ankle jerk reflex may also be indicative of peripheral neuropathy.
Forward displacement of a proximal vertebra in relation to its adjacent vertebra in association with an intact neural arch, and in the presence of degenerative changes, is known as degenerative spondylolisthesis, [9] [10] which narrows the spinal canal, and symptoms of spinal stenosis are common. Of these, neural claudication is most common.
Each spinal nerve is a mixed nerve that carries both sensory and motor information, via efferent and afferent nerve fibers—ultimately via the motor cortex in the frontal lobe and to somatosensory cortex in the parietal lobe—but also through the phenomenon of reflex.