{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T11:00:34Z","timestamp":1790420434773,"version":"4.1.0"},"reference-count":48,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2005,1]]},"abstract":"<jats:p content-type=\"fine-print\">P Neurological injury to the lumbosacral plexus associated with pelvic and sacral fractures has traditionally been treated conservatively, despite significant and often debilitating functional deficits of the lower extremities. The authors report a case of reconstruction of the lumbosacral plexus, including nerve grafting to restore lower-extremity function caused by severe trauma to the pelvis. A 16-year-old boy sustained pelvic and sacral fractures in a motor vehicle accident. After stabilization of his orthopedic injuries, he suffered from paresis of his right gluteal and hamstring muscles and had no motor or sensory function below his knee. Two months later, he underwent reconstruction of his lumbosacral plexus performed using a nerve graft from his L-5 and S-1 nerve roots proximal to the inferior gluteal nerve and distal to a branch to the hamstring muscles. After another 2 months, his recovering saphenous nerve was transferred to the sensory component of the posterior tibial nerve by using cabled sural nerve grafts to restore sensation to the sole of his foot. After 2.5 years, he experienced reinnervation of his gluteal and hamstring muscles and could perceive vibration on the sole of his foot. With the assistance of a foot-drop splint, the patient ambulates well and is able to ski. Operative details and the relevant literature are reviewed.<\/jats:p>","DOI":"10.3171\/ped.2005.102.1.0086","type":"journal-article","created":{"date-parts":[[2010,8,27]],"date-time":"2010-08-27T06:01:06Z","timestamp":1282888866000},"page":"86-91","source":"Crossref","is-referenced-by-count":7,"title":["Nerve reconstruction in lumbosacral plexopathy"],"prefix":"10.3171","volume":"102","author":[{"given":"Thomas H.","family":"Tung","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. Zachary","family":"Martin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine B.","family":"Novak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl","family":"Lauryssen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan E.","family":"Mackinnon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Trauma","doi-asserted-by":"publisher","first-page":"532","DOI":"10.1097\/00005373-197506000-00015","article-title":"Lumbosacral nerve root avulsion: report of a case and review of the literature.","volume":"15","author":"Barnett","year":"1975"},{"key":"b2","series-title":"Surgical Disorders of the Peripheral Nerves.","first-page":"150","article-title":"The lower limb-lumbosacral plexus","author":"Birch","year":"1998"},{"key":"b3","series-title":"J Bone Joint Surg","first-page":"113","article-title":"Sacral fractures and injuries to the cauda equina.","volume":"27","author":"Bonnin","year":"1945"},{"key":"b4","series-title":"Injury","doi-asserted-by":"publisher","first-page":"674","DOI":"10.1016\/S0020-1383(97)00080-6","article-title":"Lumbosacral nerve root avulsion.","volume":"28","author":"Chin","year":"1997"},{"key":"b5","series-title":"J Comp Tomog","doi-asserted-by":"publisher","first-page":"1052","DOI":"10.1097\/00004728-198911000-00019","article-title":"Traumatic lumbosacral nerve root avulsion: evaluation by MR imaging.","volume":"13","author":"Freddy","year":"1989"},{"key":"b6","series-title":"J Bone Joint Surg Br","first-page":"24","article-title":"Complicated crushing injuries of the pelvis.","volume":"49","author":"Froman","year":"1967"},{"key":"b7","series-title":"J Neurosci","doi-asserted-by":"publisher","first-page":"7509","DOI":"10.1523\/JNEUROSCI.15-11-07509.1995","article-title":"The immunosuppressant FK506 increases the rate of axonal regeneration in rat sciatic nerve.","volume":"15","author":"Gold","year":"1995"},{"key":"b8","series-title":"Acta Chir Scand Suppl","first-page":"1","article-title":"Lumbosacral nerve injury in fracture of the pelvis. A postmortem radiographic and patho-anatomical study.","volume":"429","author":"Huittinen","year":"1972"},{"key":"b9","series-title":"Campbell's Operative Orthopaedics.","first-page":"3878","article-title":"Peripheral nerve injuries","author":"Jobe","year":"1998"},{"key":"b10","series-title":"Nerve Injuries: Operative Results for Major Nerve Injuries, Entrapments, and Tumors.","first-page":"328","article-title":"Lower extremity nerves","author":"Kline","year":"1995"},{"key":"b11","series-title":"J Trauma","doi-asserted-by":"publisher","first-page":"861","DOI":"10.1097\/00005373-198806000-00028","article-title":"Lumbosacral plexus avulsion injury: clinical, myelographic and computerized tomographic features.","volume":"28","author":"Kolawole","year":"1988"},{"key":"b12","series-title":"Muscle Nerve","doi-asserted-by":"publisher","first-page":"1757","DOI":"10.1002\/1097-4598(200011)23:11<1757::AID-MUS13>3.0.CO;2-M","article-title":"Lumbosacral plexopathy in pelvic 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