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Avulsion of Lumbar Roots Complicating Fracture of the Pelvis
W. ROBERT HARRIS; J. B. RATHBUN; GEORGE WORTZMAN; JOHN G. HUMPHREY
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From the Departments of Orthopaedic Surgery, Radiology, and Neurology, the Toronto General Hospital, Toronto
1973 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1973; 55:1436-1442 
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Abstract

Four cases of avulsion of lumbar-nerve roots complicating fractures of the pelvis are reported, in which myelographic evidence of diverticula at the roots or dural scarring, or both, were found. In each case, the pelvic injury included dislocation of or fracture adjacent to a sacro-iliac joint. In contrast to fraction injuries of the cervical-nerve roots, the presence of a diverticulum in a lumbar myelogram does not usually mean complete avulsion of the nerve root, and some recovery may be anticipated. The neurological deficit in two of the four cases did not correspond segmentally to the location of the diverticula.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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