TY - JOUR
T1 - Neurological evaluation after radical resection of sacral neoplasms
AU - Fujimura, Y.
AU - Maruiwa, H.
AU - Takahata, T.
AU - Toyama, Y.
PY - 1994/6
Y1 - 1994/6
N2 - Eight patients had a radical resection of sacral tumours, and bilateral severance of lumbosacral nerves was required. Their neurological deficits and disturbance of activities of daily living (ADL) were studied. The neurological deficits which occurred were motor dysfunction of the lower limbs, sensory disturbances, and urinary, faecal and sexual dysfunction. Bilateral preservation of the L5 nerve and above was necessary to permit the ability to walk, and bilateral preservation of the S2 nerve and above was necessary to spare urinary, faecal and sexual functions in order to establish ADL. To maintain normal ADL, bilateral preservation of the S2 nerve and above was necessary for walking, and bilateral preservation of the S3 nerve and above was necessary for urinary, faecal and sexual functions.
AB - Eight patients had a radical resection of sacral tumours, and bilateral severance of lumbosacral nerves was required. Their neurological deficits and disturbance of activities of daily living (ADL) were studied. The neurological deficits which occurred were motor dysfunction of the lower limbs, sensory disturbances, and urinary, faecal and sexual dysfunction. Bilateral preservation of the L5 nerve and above was necessary to permit the ability to walk, and bilateral preservation of the S2 nerve and above was necessary to spare urinary, faecal and sexual functions in order to establish ADL. To maintain normal ADL, bilateral preservation of the S2 nerve and above was necessary for walking, and bilateral preservation of the S3 nerve and above was necessary for urinary, faecal and sexual functions.
KW - Activities of daily living
KW - Neurological deficit
KW - Radical resection
KW - Sacral tumours
KW - Severance of lumbosacral nerves
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U2 - 10.1038/sc.1994.66
DO - 10.1038/sc.1994.66
M3 - Article
C2 - 8090548
AN - SCOPUS:0028308609
VL - 32
SP - 396
EP - 406
JO - Spinal Cord
JF - Spinal Cord
SN - 1362-4393
IS - 6
ER -