Sacral plexus

Nerve: Sacral plexus
Plan of sacral and pudendal plexuses.
Relations of the sacral plexus. Dissection of side wall of pelvis showing sacral and pudendal plexuses.
Latin	plexus sacralis
Gray's	subject #213 957
From	L4-L5, S1-S4

In human anatomy, the sacral plexus is a nerve plexus which provides motor and sensory nerves for the posterior thigh, most of the lower leg, the entire foot, and part of the pelvis. It is part of the lumbosacral plexus and emerges from the sacral vertebrae (S1-S4).^[1]

Composition

The sacral plexus is formed by::

• the lumbosacral trunk
• the anterior division of the first sacral nerve
• portions of the anterior divisions of the second and third sacral nerves

The nerves forming the sacral plexus converge toward the lower part of the greater sciatic foramen, and unite to form a flattened band, from the anterior and posterior surfaces of which several branches arise.

The band itself is continued as the sciatic nerve, which splits on the back of the thigh into the tibial nerve and common fibular nerve; these two nerves sometimes arise separately from the plexus, and in all cases their independence can be shown by dissection.

Often, the sacral plexus and the lumbar plexus are considered to be one large nerve plexus, the lumbosacral plexus. The lumbosacral trunk connects the two plexuses.

Relations

The sacral plexus lies on the back of the pelvis between the piriformis muscle and the pelvic fascia. In front of it are the internal iliac artery, internal iliac vein, the ureter, and the sigmoid colon. The superior gluteal artery and vein run between the lumbosacral trunk and the first sacral nerve, and the inferior gluteal artery and vein between the second and third sacral nerves.

Nerves formed

All the nerves entering the plexus, with the exception of the third sacral, split into ventral and dorsal divisions, and the nerves arising from these are as follows of the table below:

Additional images

The right sympathetic chain and its connections with the thoracic, abdominal, and pelvic plexuses.

See also

• Cervical plexus
• Brachial plexus
• Lumbar plexus

Notes

References

This article relies largely or entirely upon a single source. Please help improve this article by introducing appropriate citations of additional sources. (January 2009)

• Thieme Atlas of Anatomy: General Anatomy and Musculoskeletal System. Thieme. 2006. ISBN 1-58890-419-9. 

This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained within it may be outdated.

External links

• 1490026564 at GPnotebook
• MeSH Lumbosacral+Plexus
• Cross section at UV pembody/body15a
• Mnemonic at medicalmnemonics.com 3544 2382
• Sacral+plexus at eMedicine Dictionary
• Illustration at preventdisease.com
• Illustration at backpain-guide.com