Spinal Cord Stimulation for the Neuropathic Pain Caused by Traumatic Lumbosacral Plexopathy after Extensive Pelvic Fracture

ABSTRACT

The neuropathic pain caused by lumbosacral plexopathy as a sequela to extensive pelvic and sacral fractures is rare because many posttraumatic cases remain undiagnosed as a result of the high mortality associated with these types of injury and because of the survivors of multiple trauma, including pelvic fractures, frequently have an incomplete work-up. Although surgical treatments for medically refractory lumbosacral plexus avulsion pain have been reported, an effective surgical technique for pain relief in lumbosacral plexopathy has not been well documented. We describe the effectiveness of spinal cord stimulation (SCS) in a patient suffering from severe neuropathic pain caused by lumbosacral plexopathy after an extensive pelvic fracture.