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KMID : 0388720170240010039
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Journal of Korean Society of Spine Surgery
2017 Volume.24 No. 1 p.39 ~ p.43
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Traumatic Lumbar Plexopathy by Seat Belt Injury
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Park Yung
Ko Min-Seok
Kam Jin-Hwa
Lee Sang-Hoon
Lee Yun-Tae
Yoo Joo-Hyung
Oh Hyun-Chul
Ha Joong-Won
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Abstract
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Study Design: A case report.
Objectives: To report and discuss an extremely uncommon cause of lumbar plexopathy seat belt injury.
Summary of Literature Review: For patients who undergo traffic accidents, most cases of seat belt injury cause trauma to the lower torso. Seat belt injury is associated with variable clinical problems such as vascular injury, intestinal injury (perforation), vertebral injury (flexion-distraction injury), chest wall injury, diaphragmatic rupture/hernia, bladder rupture, lumbosacral plexopathy, and other related conditions.
Materials and Methods: A 38-year-old male truck driver (traffic accident victim) who suffered monoplegia of his right leg due to lumbar plexus injury without spinal column involvement. Injury to a lumbar plexus and the internal vasculatures originated from direct compression to internal abdominal organs (the iliopsoas muscle and internal vasculatures anterior to the lumbar vertebrae) caused by the seat belt. We have illustrated an extremely uncommon cause of a neurologic deficit from a traffic accident through this case.
Results: Under the impression of traumatic lumbar plexopathy, we managed it conservatively, and the patient showed signs of recovery from neurologic deficit.
Conclusions: We need to review the lumbar plexus pathway, in patients with atypical motor weakness and sensory loss of the lower extremities which are not unaccompanied by demonstrable spinal lesions. Therefore, close history taking, physical examination and comprehension of injury mechanism are important in the diagnosis.
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KEYWORD
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Traumatic, Lumbar plexopathy, Seat belt injury
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