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Neurologic deficit after resection of the sacrum
R Biagini1, P Ruggieri, M Mercuri
1I Clinica Ortopedica, Istituto Ortopedico Rizzoli, Bologna.
La Chirurgia Degli Organi Di Movimento
|June 10, 1998
Summary
Sacral nerve root resection during sacrum removal can cause significant neurologic deficits affecting sensation, movement, and continence. A proposed scoring system helps evaluate this deficit, potentially aiding post-traumatic injury assessment.
Area of Science:
- Neurology
- Surgical Anatomy
- Urology
Background:
- Sacral nerve root sacrifice during sacrum resection leads to neurologic deficits.
- Sphincteral continence and sexual function rely on sacral innervation.
- Existing literature shows disagreement on the neurophysiological basis of these functions.
Purpose of the Study:
- To describe neurologic deficits resulting from sacral nerve root resection.
- To discuss the anatomical and functional basis of sphincteral continence.
- To propose a scoring system for evaluating neurologic deficit.
Main Methods:
- Review of existing literature on sacral nerve root resection and neurologic deficit.
- Analysis of anatomical and functional aspects of sacral nerve roots.
- Development of a scoring system for neurologic deficit evaluation.
Main Results:
- Neurologic deficits (sensory, motor, sphincteral) are directly related to the level of sacral resection.
- The neurophysiological underpinnings of continence and sexual function remain incompletely understood.
- A scoring system is proposed to quantify neurologic deficit.
Conclusions:
- The extent of sacral resection correlates with the severity of neurologic deficit.
- Further research is needed to elucidate the neurophysiology of continence and sexual function.
- The proposed scoring system may be applicable to evaluating post-traumatic neurologic deficits.