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Published on: January 10, 2019
Lumbosacral plexus lesions
G Stevanato1, L Vazzana, S Daramaras
1Department of Neurosurgery, Umberto I Hospital, Mestre-Venezia, Italy. giorgio.stevanato@ulss12.ve.it
Acta Neurochirurgica. Supplement
|November 8, 2007
Summary
Lumbosacral plexus lesions, often caused by trauma or tumors, require a multidisciplinary approach for diagnosis and treatment. Surgical intervention can lead to significant pain control and improved mobility, with most patients regaining unaided walking ability.
Area of Science:
- Neurosurgery
- Neurology
- Orthopedic Surgery
Background:
- Lumbosacral plexus lesions present diagnostic and therapeutic challenges.
- Understanding lesion mechanisms is crucial for effective patient management.
- Optimizing patient outcomes necessitates a comprehensive approach.
Observation:
- Eight patients with lumbosacral plexus lesions underwent surgical treatment.
- Lesion causes included high-energy trauma, firearm injuries, spontaneous hematoma, and schwannoma.
- Diagnosis involved clinical evaluation, electrophysiology, MRI, and CT myelography.
Findings:
- Surgical approaches included lateral extraperitoneal and transperitoneal methods.
- Neuronavigation was utilized for a schwannoma case.
- Pain was effectively managed in all patients post-surgery.
Implications:
- Lumbosacral plexus lesions demand a challenging, multidisciplinary diagnostic and treatment strategy.
- Delayed outcomes can be encouraging, with significant functional recovery.
- Six out of eight patients achieved unaided ambulation, highlighting treatment efficacy.
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