Meralgia paraesthetica following lumbar spine surgery: a study in 110 consecutive surgically treated cases.

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dc.contributor.authorGupta, Aen_US
dc.contributor.authorMuzumdar, Den_US
dc.contributor.authorRamani, P Sen_US
dc.date.accessioned2004-03-08en_US
dc.date.accessioned2009-06-03T11:45:23Z
dc.date.available2004-03-08en_US
dc.date.available2009-06-03T11:45:23Z
dc.date.issued2004-03-08en_US
dc.description.abstractBACKGROUND: Lateral cutaneous femoral nerve (LCFN) injury or Meralgia paraesthetica (MP) results in restriction of activity. Compression of the nerve by disc hernia, retroperitoneal tumors, and external pressure around the anterior superior iliac spine is common. However, it is not commonly observed after lumbar spinal surgery in prone position. STUDY DESIGN: In this prospective study of 110 patients who underwent elective lumbar spinal surgery, managed from January 2002 to June 2002, the incidence, possible risk factors, etiopathogenesis and management of MP were analyzed. RESULTS: There were 66 males and 44 females. The age of the patients ranged from 15 to 81 years (mean 46.9 yrs.). Thirteen patients (12%) suffered from MP. It is more common in thinner individuals due to pressure injury to the nerve at its exit point. Ninety-two per cent of the patients were asymptomatic at follow-up after 6 months. In 7 out of 13 patients, patchy sensory loss on clinical examination was seen at 6 months. CONCLUSION: MP after posterior lumbar spinal surgery is uncommon. Smaller bolsters may avoid some of the vulnerable pressure points, as the surface area available is relatively smaller. The posts of the Hall-Relton frame over the anterior superior iliac crest should be adequately padded. The condition is usually self-limiting. Surgical division or decompression of the LCFN is reserved for persistent or severe MP.en_US
dc.description.affiliationLilavati Hospital and Research Centre and Shushrusha Citizens Co-operative Hospital, Mumbai, India.en_US
dc.identifier.citationGupta A, Muzumdar D, Ramani PS. Meralgia paraesthetica following lumbar spine surgery: a study in 110 consecutive surgically treated cases. Neurology India. 2004 Mar; 52(1): 64-6en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/121100
dc.language.isoengen_US
dc.source.urihttps://neurologyindia.comen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 and overen_US
dc.subject.meshFemaleen_US
dc.subject.meshFemoral Neuropathy --etiologyen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshLumbosacral Region --surgeryen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNerve Compression Syndromes --etiologyen_US
dc.subject.meshNeurosurgical Procedures --adverse effectsen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshSpinal Diseases --surgeryen_US
dc.subject.meshSpine --surgeryen_US
dc.titleMeralgia paraesthetica following lumbar spine surgery: a study in 110 consecutive surgically treated cases.en_US
dc.typeJournal Articleen_US
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