Anatomic Consideration in the Anterior Approach to the Sacro-iliac Joint

Na, Ebraheim; Tg, Padanilam; Jt, Waldrop; Ra, Yeasting

doi:10.1097/00007632-199403001-00014

Cited by 33 publications

(15 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The same study found the lumbosacral trunk to be an average of 5.31 ± 2.16 mm from the sacroiliac joint at the pelvic brim and 12.57 ± 3.45 mm at the sacral promontory [ 6 ]. These values are in accord with those reported by Ebraheim and colleagues [ 7 ].…”

Section: Discussionsupporting

confidence: 93%

Absence of the Lumbosacral Trunk

Schmidt

Iwanaga

Yılmaz

et al. 2017

Cureus

View full text Add to dashboard Cite

The lumbosacral trunk, typically comprised of part of the fourth lumbar ventral rami and the entirety of the fifth lumbar ventral rami, serves as a connection between the lumbar and sacral plexuses. Developmental differences underlie the variable relative contributions of L4 and L5 to the lumbosacral trunk. Herein, we report a rare case in which dissection of an adult male cadaver revealed no L4 contribution to the lumbosacral plexus. We discuss the surgical and clinical implications of such an anatomic variation.

show abstract

Section: Discussionsupporting

confidence: 93%

Absence of the Lumbosacral Trunk

Schmidt

Iwanaga

Yılmaz

et al. 2017

Cureus

View full text Add to dashboard Cite

show abstract

“…Von posterior nach anterior nimmt die Distanz des Truncus lumbosacralis zum SI-Gelenk ab. Im Bereich der Linea terminalis beträgt der Abstand 10 mm, während 4 cm dorsal der Linea terminalis ein Abstand von durchschnittlich 23 mm besteht [7]. Dies ist beim Einsetzen der Hohmann-Hebel (Abbildung 9) zu beachten.…”

Section: Abbildungunclassified

“…The distance between the lumbosacral trunk and the SI joint decreases from posterior to anterior. In the area of the linea terminalis the distance is 10 mm, whereas 4 cm posterior to the linea terminalis the average distance is 23 mm [7]. This must be taken into account when inserting the Hohmann retractor ( Figure 9).…”

Section: Figurementioning

confidence: 99%

Die anteriore Stabilisierung der Sakroilialgelenksprengung

2005

View full text Add to dashboard Cite

In 27 patients with disruption of the SI joint consistent with a type C injury, the average displacement of the affected SI joint was 16 mm (8-30 mm). Complications relating to the osteosynthesis occurred as a deep infection in one patient, originating from a concomitant acetabular osteosynthesis. Iatrogenic nerve damage (lateral femoral cutaneous nerve) was present in two patients. 16 patients were followed up using radiologic techniques (pelvic, possibly inlet and outlet views, computed tomography). 13 SI joints healed in anatomic position. The malalignments observed were relatively slight (2-4 mm). There was no secondary implant failure. Almost all patients (n = 14) showed posttraumatic changes of the SI joint (osteophytes, arthrosis, ankylosis).

show abstract

“…The advantage of this technique is that it avoids soft tissue problems in the buttocks; however, this technique requires detailed anatomical knowledge and extensive surgical experience. The safe and reliable area for screw fixation in the sacral ala is narrow because of limited bone stock and the presence of intra‐osseous sacral nerve roots . The L4 nerve branch, L5 nerve root and lumbosacral trunk are positioned close to the sacroiliac joint in the extra‐osseous area, which may be injured during the fixation procedure .…”

Section: Introductionmentioning

confidence: 99%

“…The safe and reliable area for screw fixation in the sacral ala is narrow because of limited bone stock and the presence of intra‐osseous sacral nerve roots . The L4 nerve branch, L5 nerve root and lumbosacral trunk are positioned close to the sacroiliac joint in the extra‐osseous area, which may be injured during the fixation procedure . In addition, there exist wide anatomical variations in the distances between the lumbosacral nerves and the sacroiliac joints .…”

Section: Introductionmentioning

confidence: 99%