Neurologic Injury within Pelvic Ring Injuries.
10.12671/jkfs.2014.27.1.17
- Author:
Ji Wan KIM
1
;
Dong Hoon BAEK
;
Jae Hyun KIM
;
Young Chang KIM
Author Information
1. Department of Orthopedic Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea. cocopam76@naver.com
- Publication Type:Original Article
- Keywords:
Pelvis;
Pelvic ring injury;
Neurologic injury;
Complications;
Risk factors
- MeSH:
Humans;
Incidence;
Lumbosacral Plexus;
Obturator Nerve;
Pelvis;
Risk Factors;
Spine
- From:Journal of the Korean Fracture Society
2014;27(1):17-22
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the incidence of neurologic injury in pelvic ring injuries and to assess the risk factors for neurologic injury related to pelvic fractures. MATERIALS AND METHODS: Sixty-two patients with the pelvic ring injury were enrolled in the study from March 2010 to May 2013. When the neurologic injury was suspected clinically, the electro-diagnostic tests were performed. Combined injuries, fracture types, and longitudinal displacements were examined for correlations with the neurologic injury. RESULTS: There were 7 cases of AO/OTA type A, 37 cases of type B, and 18 cases of type C. Among them, 25 patients (40%) had combined spine fractures, and the average of longitudinal displacement was 7 mm (1-50 mm). Of the 62 patients, 13 (21%) had neurologic injury related with pelvic fractures; 5 with lumbosacral plexus injury, 5 with L5 or S1 nerve injury, 2 with obturator nerve injury, and 1 case of lateral femoral cutaneous nerve injury. There were no relationships between the neurologic injuries and fracture types (p=0.192), but the longitudinal displacements of posterior ring and combined spine fractures were related to the neurologic injury within pelvic ring injury (p=0.006, p=0.048). CONCLUSION: The incidence of neurologic injury in pelvis fracture was 21%. In this study, the longitudinal displacements of posterior ring and combined spine fractures were risk factors for neurological injury in pelvic ring injury.
