Neurologic deficit after resection of the sacrum.

R. Biagini, P. Ruggieri, M. Mercuri, R. Capanna, A. Briccoli, S. Perin, U. Orsini, S. Demitri, S. Arlecchini

Research output: Contribution to journalArticlepeer-review

Abstract

The authors describe neurologic deficit (sensory, motor, and sphincteral) resulting from sacrifice of the sacral nerve roots removed during resection of the sacrum. The anatomical and functional bases of sphincteral continence and the amount of neurologic deficit are discussed based on level of sacral resection. A large review of the literature on the subject is reported and discussed. The authors emphasize how the neurophysiological bases of sphincteral continence (rectum and bladder) and of sexual ability are still not well known, and how the literature reveals disagreement on the subject. A score system is proposed to evaluate neurologic deficit. The clinical model of neurologic deficit caused by resection of the sacrum may be extended to an evaluation of post-traumatic deficit.

Original languageEnglish
Pages (from-to)357-372
Number of pages16
JournalLa Chirurgia degli organi di movimento
Volume82
Issue number4
Publication statusPublished - 1997

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