title: Lumbar plexus injury in an anterior fracture dislocation of sacroiliac joint: a case report and review of literature.
abstract: Displaced unstable pelvic fractures are commonly associated with disruption of the osteoarticular junction of the sacroiliac joint. Posterior sacroiliac dislocation are commonly reported but there are only few reports the anterior type of sacroiliac dislocation where the iliac bone fractures and displaces anterior to sacrum, often in combination with fractures of pubic rami and symphyseal injuries. We present a case of an anterior type of sacroiliac fracture dislocation which was associated with a lumbar plexus injury involving both motor and sensory components. Preoperative neurological assessment was done by MRI scan. The tented nerve roots were explored and decompressed surgically, and sacroiliac fixation was done after reduction in the fracture and joint.
authors.affiliation: Pt. B. D. Sharma PGIMS Rohtak, 319/19, Medicos Agencies, Opp. Civil Hospital, Rohtak, Haryana, 124001, India.
authors.forename: Narender Kumar
authors.initials: NK
authors.lastname: Magu
authors.forename: Rohit
authors.initials: R
authors.lastname: Singla
authors.forename: Paritosh
authors.initials: P
authors.lastname: Gogna
authors.lastname: Amanpreet
authors.forename: Nishant
authors.initials: N
authors.lastname: Jain
authors.forename: Shalini
authors.initials: S
authors.lastname: Aggarwal
references.citation: J Trauma. 1972 Nov;12(11):931-5
references.pmid: 4637651
references.citation: Arch Phys Med Rehabil. 1988 Jul;69(7):539-41
references.pmid: 3291822
references.citation: Acta Chir Scand. 1972;138(6):571-5
references.pmid: 5084299
references.citation: Orthopedics. 2010 Dec 01;33(12):920
references.pmid: 21162494
references.citation: J Trauma. 1975 Jun;15(6):532-5
references.pmid: 1079261
references.citation: J Pediatr Orthop B. 2011 Jul;20(4):209-11
references.pmid: 21301365
references.citation: J Orthop Trauma. 2011 Dec;25(12):e111-4
references.pmid: 21577148
references.citation: Arch Orthop Trauma Surg. 2009 Jul;129(7):941-7
references.pmid: 19301018
references.citation: Yonsei Med J. 2012 Mar;53(2):422-6
references.pmid: 22318833
references.citation: Unfallchirurg. 1993 Jun;96(6):311-8
references.pmid: 8342059
references.citation: Orthop Traumatol Surg Res. 2012 May;98(3):359-62
references.pmid: 22480864
references.citation: Rev Chir Orthop Reparatrice Appar Mot. 2004 Apr;90(2):122-31
references.pmid: 15107699
references.citation: Clin Orthop Relat Res. 1992 Sep;(282):222-8
references.pmid: 1516317
references.citation: J Neurosurg. 1966 May;24(5):837-42
references.pmid: 5943218
references.citation: Clin Orthop Relat Res. 1996 Aug;(329):28-36
references.pmid: 8769433
references.citation: Orthopedics. 2010 Aug 11;33(8):
references.pmid: 20704106