Post traumatic and post surgical sciatic neuropathy

Abstract

Introduction: Sciatic nerve neuropathy surgical related is an unpleasant event with repercussions on the patient and the surgical team. The precise localization and extension of the nerve lesion, thedetermination of nerve continuity, lesion severity, and fascicular lesion distribution are essential for assessing the potential of spontaneous recovery and thereby avoiding delayed or inappropriate therapy. The aim of this study is to identify and detail posttraumatic and postoperative neuropathies. Material and Methods:We identified 11 patients diagnosed with the posttraumatic sciatic nerve palsy, including postoperative one. We examined clinical data, trauma’s information, surgery, symptoms and medical records. Discussion results: From the group of patients involved in the study 9 patients were men. Patients’ age ranged from 21 to 63 years old. We determined that 5 cases were during trauma or after surgery, and in 6 cases – at distance. Our data find their confirmation in literature data published by the authors: Farrell CM, Springer BD, Haidukewych GJ, Morrey BF. Conclusion: Knowing the complications allows finding the preventive measures that are targeted towards monitoring the intraoperative neurophysiological complex depending on performed procedure.