Abstract
Traumatic lumbosacral nerve root avulsion has been recognized as extremely rare, compared with traction injury of cervical lesion. This seems to due chiefly to the structural characteristics of the mechanism of lumbar girdle. But recently, with the development of high speed transport, so called high momentum injury has been increasing.We report a case of a 58-year-old woman who sufferred from right 4th lumbar nerve root avulsion in the traffic accident.She had fractures of right pelvic ring and right transverse process of the 5th lumbar spine.Mechanism of this injury seemed to be left side bending of lumbar spine and fiexion-abduction displacement of right thigh.In treating a case of pelvic fractures associated with flaccid paralysis of lower leg, we must take into consideration an avulsion injury of the lumbar nerve root.
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