Lumbosacral plexus
View article: Continuous Lumbosacral Plexus Blocks for Hip and Femur Surgery Analgesia in Elderly Patients Using a Neurostimulator. A Retrospective Study Comparing Psoas and Inguinal Compartment Access
Continuous Lumbosacral Plexus Blocks for Hip and Femur Surgery Analgesia in Elderly Patients Using a Neurostimulator. A Retrospective Study Comparing Psoas and Inguinal Compartment Access Open
Background: Lumbar plexus block has been used effectively as an anesthetic technique for anesthesia and analgesia in elderly patients with femur and hip fractures. Access to the lumbar plexus can be achieved via a posterior approach (withi…
View article: L5–S1 Point in Indian Neurotherapy: Three-Stage Technique for Lower Spine, Sciatica, and Pelvic Activation
L5–S1 Point in Indian Neurotherapy: Three-Stage Technique for Lower Spine, Sciatica, and Pelvic Activation Open
The L5–S1 Point in Indian Neurotherapy is located at the junction between the fifth lumbar vertebra (L5) and the first sacral vertebra (S1)—a critical region that supports spinal weight transfer, pelvic stability, and lower-limb nerve func…
View article: L5–S1 Point in Indian Neurotherapy: Three-Stage Technique for Lower Spine, Sciatica, and Pelvic Activation
L5–S1 Point in Indian Neurotherapy: Three-Stage Technique for Lower Spine, Sciatica, and Pelvic Activation Open
The L5–S1 Point in Indian Neurotherapy is located at the junction between the fifth lumbar vertebra (L5) and the first sacral vertebra (S1)—a critical region that supports spinal weight tr…
View article: Identifying S3 and S2 as Key Pain-Sensitive Targets in High-Frequency Ultrasound Therapy for Sacroiliitis
Identifying S3 and S2 as Key Pain-Sensitive Targets in High-Frequency Ultrasound Therapy for Sacroiliitis Open
Background/Objectives: Sacroiliitis is a painful inflammatory disorder of the sacroiliac joint, estimated to account for up to 25% of chronic low back pain. Treatment options are often limited, and many patients continue to experience symp…
View article: Efficacy of Sacral Neuromodulation in Treatment of Fecal Incontinence Associated With Anal Sphincter Defects: A Systematic Review and Meta‐Analysis
Efficacy of Sacral Neuromodulation in Treatment of Fecal Incontinence Associated With Anal Sphincter Defects: A Systematic Review and Meta‐Analysis Open
Background Anal sphincteroplasty (AS) was considered standard treatment for fecal incontinence (FI) associated with sphincter injury; however, long‐term outcomes have been disappointing. Sacral neuromodulation (SNM) has proven effective fo…
View article: Spinal cord neuromodulation for blood pressure control using low-intensity focused ultrasound
Spinal cord neuromodulation for blood pressure control using low-intensity focused ultrasound Open
Focused ultrasound (FUS) is an innovative technology that delivers angled acoustic energy to a small target region. Previous FUS technology has demonstrated efficacy in applications such as tumor destruction, nerve modulation, and drug del…
View article: MRI in Chronic Pudendal Neuralgia: Diagnostic Criteria and Associated Pathologies
MRI in Chronic Pudendal Neuralgia: Diagnostic Criteria and Associated Pathologies Open
Background/Objectives: Chronic pudendal neuralgia is a relatively rare condition in the general population, with an incidence of 1%. Although diagnosis of pudendal neuralgia is mainly clinical, Magnetic Resonance Imaging (MRI) is commonly …
View article: Blind perineural injection for sciatic and femoral nerve block in cats: anatomical study and in vivo application
Blind perineural injection for sciatic and femoral nerve block in cats: anatomical study and in vivo application Open
This study investigated staining of sciatic (SN) and femoral (FN) nerves in feline cadavers following injection of two different volumes of methylene blue, and the application of one chosen volume in vivo using lidocaine in healthy sedated…
View article: Case Report: Robot-assisted sacral fracture reduction with patient-specific finite element planning
Case Report: Robot-assisted sacral fracture reduction with patient-specific finite element planning Open
Background Sacral fractures are typically caused by high-energy trauma. They often disrupt the pelvic ring and pose complex anatomical challenges, as the sacrum is surrounded by critical structures—including blood vessels, nerves, and inte…
View article: A Case Report on Unusual Sciatic Nerve Anatomy
A Case Report on Unusual Sciatic Nerve Anatomy Open
The sciatic nerve, the largest nerve in the human body, originates from the lumbosacral plexus and is essential for lower limb innervation. Its typical course beneath the piriformis muscle is important for understanding clinical conditions…
View article: A Case Report on Unusual Sciatic Nerve Anatomy
A Case Report on Unusual Sciatic Nerve Anatomy Open
The sciatic nerve, the largest nerve in the human body, originates from the lumbosacral plexus and is essential for lower limb innervation. Its typical course beneath the piriformis muscle is important for understanding clinical conditions…
View article: INNV-60. First use of Cesium-131 embedded collagen tiles for brachytherapy in the spine: combined surgical resection and brachytherapy for recurrent rectosigmoid adenocarcinoma metastasis to the sacrum
INNV-60. First use of Cesium-131 embedded collagen tiles for brachytherapy in the spine: combined surgical resection and brachytherapy for recurrent rectosigmoid adenocarcinoma metastasis to the sacrum Open
BACKGROUND The utilization of Cesium-131 embedded collagen tiles (Cs131CT) for high-dose rate brachytherapy has thus far primarily been implanted intracranially. Advantages of Cesium-131 include less tissue penetration thus lowering the ri…
View article: Neurological Sequelae After Sacral Radiofrequency Ablation: A Case of Acute Cauda Equina Syndrome
Neurological Sequelae After Sacral Radiofrequency Ablation: A Case of Acute Cauda Equina Syndrome Open
View article: Clinical efficacy of subsensory sacral neuromodulation in adults with faecal incontinence: The <scp>SUBSoNIC</scp> crossover randomised controlled trial and cohort follow‐up study
Clinical efficacy of subsensory sacral neuromodulation in adults with faecal incontinence: The <span>SUBSoNIC</span> crossover randomised controlled trial and cohort follow‐up study Open
Aim Sacral neuromodulation (SNM) is considered the first‐line surgical treatment in adults with refractory faecal incontinence (FI). However, its clinical efficacy has not been rigorously tested in a trial setting. Method Randomised, multi…
View article: Comparative Analysis of Urinary and Sexual Dysfunction in Men Following Anterior versus Posterior Lumbar Instrumentation
Comparative Analysis of Urinary and Sexual Dysfunction in Men Following Anterior versus Posterior Lumbar Instrumentation Open
Background Urinary and sexual dysfunction are underrepresented complications in spine surgery literature, despite their significant impact on postoperative quality of life among male patients. These outcomes are particularly relevant in lu…
View article: Cutting the pain, not the power: Posterior Femoral Cutaneous Nerve Block Restores Competitive Drive
Cutting the pain, not the power: Posterior Femoral Cutaneous Nerve Block Restores Competitive Drive Open
Background: The posterior femoral cutaneous nerve (PFCN) is a purely sensory nerve arising from the sacral plexus that supplies sensation to the posterior thigh, gluteal fold, and upper medial thigh. Isolated PFCN mononeuropathies are rare…
View article: A Systematic Approach to the Evaluation of Lumbosacral Plexus MRI: Indications, Protocol Anatomy, and Pathology
A Systematic Approach to the Evaluation of Lumbosacral Plexus MRI: Indications, Protocol Anatomy, and Pathology Open
Magnetic resonance imaging (MRI) of the lumbosacral plexus (LSP) is a critical tool for evaluating pelvic and lower extremity peripheral nerve disorders. The rarity of this exam type and the complexity of underlying anatomy can produce cha…
View article: Lumbosacral Plexus Magnetic Resonance Neurography in Autoimmune Nodopathy: A Quantitative Analysis
Lumbosacral Plexus Magnetic Resonance Neurography in Autoimmune Nodopathy: A Quantitative Analysis Open
AN＝autoimmune nodopathy; MRN＝ magnetic resonance neurography; EDX=electrodiagnostic; CSA = cross-sectional area; nT2s=nerve-to-muscle T2 signal intensity.
View article: Psychological impact of minimally invasive approaches in the management of pelvic fractures with lumbosacral plexus injury
Psychological impact of minimally invasive approaches in the management of pelvic fractures with lumbosacral plexus injury Open
Pelvic fractures are rare but severe injuries that severely affect patients’ quality of life. Treatment of these fractures often involves invasive approaches with high risk of injuries to nervous structures, particularly lumbosacral plexus…
View article: Unique Anatomical Variations of the Lateral Femoral Cutaneous Nerve
Unique Anatomical Variations of the Lateral Femoral Cutaneous Nerve Open
This case study focuses on the atypical nerve contributions and branching patterns of the lumbar plexus in two human body donors at Midwestern University. It discusses their implications for pathology and surgical outcomes. Variations were…
View article: Pericapsular Nerve Group Block in Combination with Lateral Femoral Cutaneous Nerve and Sacral Plexus Blocks for Hip Fracture: A Case Series
Pericapsular Nerve Group Block in Combination with Lateral Femoral Cutaneous Nerve and Sacral Plexus Blocks for Hip Fracture: A Case Series Open
This triple-block technique offers comprehensive analgesia for high-risk hip fracture patients or those with contraindications to neuraxial anesthesia, enabling early mobilization and reducing opioid reliance. Larger randomized trials are …
View article: Faecal incontinence in the era of sacral neuromodulation
Faecal incontinence in the era of sacral neuromodulation Open
Faecal incontinence is a debilitating condition that significantly affects an individual's quality of life. Accurate assessment and a thorough understanding of the underlying aetiology are crucial in determining the appropriate management …
View article: Faecal incontinence in the era of sacral neuromodulation
Faecal incontinence in the era of sacral neuromodulation Open
Faecal incontinence is a debilitating condition that significantly affects an individualʼs quality of life. Accurate assessment and a thorough understanding of the underlying aetiology are crucial in determining the appropriate management …
View article: Systematic review and meta-analysis of outcomes following laparoscopic nerve decompression surgery in neuropathic sciatic pain due to endometriosis of the sacral plexus and/or sciatic nerve v1
Systematic review and meta-analysis of outcomes following laparoscopic nerve decompression surgery in neuropathic sciatic pain due to endometriosis of the sacral plexus and/or sciatic nerve v1 Open
This systematic review and meta-analysis protocol aims to evaluate clinical outcomes following laparoscopic nerve decompression surgery in patients with neuropathic sciatic pain due to endometriosis involving the sacral plexus and/or sciat…
View article: Surgical anesthesia using a combination of lumbar plexus and sacral plexus block for knee joint compound injury in severe scoliosis: a case description
Surgical anesthesia using a combination of lumbar plexus and sacral plexus block for knee joint compound injury in severe scoliosis: a case description Open
View article: Pelvic nerve endometriosis: MRI features and key findings for surgical decision
Pelvic nerve endometriosis: MRI features and key findings for surgical decision Open
Endometriosis is a prevalent gynecological disorder in women of reproductive age. It is the leading cause of chronic pelvic pain. While the mechanisms underlying this pain remain elusive, rare cases of pelvic nerve involvement can result i…
View article: Efficacy of ultrasound-guided lumbar plexus block in reducing emergence agitation in children undergoing hip surgery
Efficacy of ultrasound-guided lumbar plexus block in reducing emergence agitation in children undergoing hip surgery Open
Objective Emergence agitation (EA) is a common and challenging postoperative problem in children. We aim to investigate the effect of ultrasound-guided lumbar plexus block on emergence agitation in children undergoing hip surgery. Methods …
View article: Twelfth Rib Length as a Predictor of Anatomic Variations in the Lumbosacral Plexus Associated With Atypical Radiculopathy in Lumbar Disc Herniation
Twelfth Rib Length as a Predictor of Anatomic Variations in the Lumbosacral Plexus Associated With Atypical Radiculopathy in Lumbar Disc Herniation Open
Study Design. A combined clinical and cadaveric observational study. Objectives. To investigate whether anatomic variations in the lumbosacral plexus (LSP) are associated with diagnostic discrepancies in lumbar disc herniation (LDH) and to…
View article: Clinical efficacy and psychological influence of lateral rectus approach for treating pelvic fracture with lumbosacral plexus injury
Clinical efficacy and psychological influence of lateral rectus approach for treating pelvic fracture with lumbosacral plexus injury Open
BACKGROUND The surgical treatment of pelvic fractures is challenging, particularly after lumbosacral plexus injuries. Such impairments affect a patient's physiological function and can cause significant mental health problems. In recent ye…
View article: Bilateral postoperative lumbosacral plexopathy: A case report
Bilateral postoperative lumbosacral plexopathy: A case report Open