{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T11:38:05Z","timestamp":1775043485217,"version":"3.50.1"},"reference-count":21,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:p>The minimally invasive lateral retroperitoneal transpsoas approach is a popular fusion technique. However, potential complications include injury to the lumbar plexus nerves, bowel, and vasculature, the most common of which are injuries to the lumbar plexus. The femoral nerve is particularly vulnerable because of its size and location; injury to the femoral nerve has significant clinical implications because of its extensive sensory and motor innervation of the lower extremities. The authors present an interesting case of a 49-year-old male patient in whom femoral and obturator nerve functional recovery unexpectedly occurred 364 days after the nerves had been injured during lateral retroperitoneal transpsoas surgery. Chronological video and electrodiagnostic findings demonstrate evidence of recovery. Classification and mechanisms of nerve injury and nerve regeneration are discussed.<\/jats:p>","DOI":"10.3171\/2013.1.spine12958","type":"journal-article","created":{"date-parts":[[2013,2,22]],"date-time":"2013-02-22T15:30:17Z","timestamp":1361547017000},"page":"409-414","source":"Crossref","is-referenced-by-count":15,"title":["Functional recovery of severe obturator and femoral nerve injuries after lateral retroperitoneal transpsoas surgery"],"prefix":"10.3171","volume":"18","author":[{"given":"Amir","family":"Ahmadian","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naomi","family":"Abel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan S.","family":"Uribe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-spine12958","series-title":"Clin Plast Surg","doi-asserted-by":"publisher","first-page":"643","DOI":"10.1016\/j.cps.2011.07.008","article-title":"Nerve reconstruction in the hand and upper extremity","volume":"38","author":"Boyd","year":"2011"},{"issue":"3 Suppl Operative","key":"b2-spine12958","series-title":"Neurosurgery","first-page":"75","article-title":"Median to radial nerve transfer to restore wrist and finger extension: technical nuances","volume":"66","author":"Brown","year":"2010"},{"issue":"5","key":"b3-spine12958","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E1","DOI":"10.3171\/foc.2004.16.5.2","article-title":"Pathophysiology of peripheral nerve injury: a brief review","volume":"16","author":"Burnett","year":"2004"},{"issue":"6 Suppl Operative","key":"b4-spine12958","series-title":"Neurosurgery","first-page":"375","article-title":"Obturator nerve transfer as an option for femoral nerve repair: case report","volume":"66","author":"Campbell","year":"2010"},{"key":"b5-spine12958","series-title":"Clin Neurosurg","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1093\/neurosurgery\/24.CN_suppl_1.391","article-title":"Timing of peripheral nerve repair: important local neuropathological factors","volume":"24","author":"Hudson","year":"1977"},{"key":"b6-spine12958","series-title":"Ann Plast Surg","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1097\/SAP.0b013e3182255d47","article-title":"Anterior branch of the obturator nerve: a novel motor autograft for complex peripheral nerve reconstruction","volume":"67","author":"Iorio","year":"2011"},{"key":"b7-spine12958","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"550","DOI":"10.1007\/s00586-010-1593-5","article-title":"Anatomy of the psoas muscle and lumbar plexus with respect to the surgical approach for lateral transpsoas interbody fusion","volume":"20","author":"Kepler","year":"2011"},{"key":"b8-spine12958","series-title":"Arch Neurol Psychiatry","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1001\/archneurpsyc.1948.02300380051004","article-title":"Tensile strength of human nerves; an experimental physical and histologic study","volume":"59","author":"Liu","year":"1948"},{"issue":"5","key":"b9-spine12958","series-title":"Neurosurg Focus","first-page":"E5","article-title":"Nerve transfers for severe brachial plexus injuries: a review","volume":"16","author":"Midha","year":"2004"},{"key":"b10-spine12958","series-title":"J Reconstr Microsurg","doi-asserted-by":"publisher","first-page":"459","DOI":"10.1055\/s-2002-33326","article-title":"Distal anterior interosseous nerve transfer to the deep motor branch of the ulnar nerve for reconstruction of high ulnar nerve injuries","volume":"18","author":"Novak","year":"2002"},{"key":"b11-spine12958","series-title":"Nature","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1038\/233265a0","article-title":"Nature of the nerve lesion caused by a pneumatic tourniquet","volume":"233","author":"Ochoa","year":"1971"},{"key":"b12-spine12958","series-title":"BMJ","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1136\/bmj.2.4260.237","article-title":"A classification of nerve injuries","volume":"2","author":"Seddon","year":"1942"},{"key":"b13-spine12958","series-title":"J Physiol","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1113\/jphysiol.1943.sp004027","article-title":"Rate of regeneration of peripheral nerves in man","volume":"102","author":"Seddon","year":"1943"},{"key":"b14-spine12958","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1529","DOI":"10.3171\/2011.1.JNS101239","article-title":"Femoral branch to obturator nerve transfer for restoration of thigh adduction following iatrogenic injury. 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