J Korean Neurosurg Soc.
1997 Feb;26(2):173-177.
Acute Sciatica from Sacral Screw Impingement on the Lumbosacral Plexus: Emphasis on the Safe Zones for Sacral Screw Placement
- Affiliations
-
- 1Department of Neurosurgery, Soonchunhyang University Chonan Hospital, Chonan, Korea.
- 2Division of Neurosurgery, University of New Mexico School of Medicine, Albuquerque, USA.
Abstract
- The authors present the case of sciatica due to bicortical sacral screw impingement on the lumbosacral plexus across the anterior sacrum. The placement of sacral screw across the anterior sacral cortex carries significant inherent risks to neurovascular and visceral structures. However, the clinical reports of lumbosacral plexus involvement by the misplaced screw are not well documented in the literature. This is an unique case of sciatica due to sacral screw impingement on the lumbosacral plexus after motor vehicle accident(MVA), and confirmed by CT scan and intraoperative electrical stimulation. We reviewed sacral anatomy and preventive measures for avoiding complication of this type are discussed.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Anatomical Safe Zone of Sacral Ala for Ventrolateral Sacral(S1) Screw Placement: Re-evaluation of Its Effectiveness
- Radiological Evaluation of SI Posterior Screw Placement
- The Effect of Sacral Alar Screw on Long-level Fusion Including Lumbosacral Segment
- Radiologic Evaluation for the Safe Zone of Percutaneous Iliosacral Screw Fixation
- Sacral Insufficiency Fracture after Multi-Level Lumbosacral Fusion Using Cement-Augmented S1 Pedicle Screw
