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Wheeless' Textbook of Orthopaedics
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Nerves arising from L4



- See: Innervation:

  Femoral:                     L2, L3, L4
  Genital Femoral:             L2, L3, L4
  Obturator Nerve:             L2, L3, L4
  Gluteal, Superior:                   L4, L5, S1
  Peroneal Nerve:                       L4, L5, S1, S2
  Sciatic:                             L4, L5, S1, S2, S3
  Tibal:                               L4, L5, S1, S2, S3


- Myelomenigocele:
    - 100% of pts who have lesion at L1 or L2 or higher use wheelchair;
    - 78% of pts who have lesion at lower level (L3, L4, L5) use wheelchair at least part of the time;




Orthopaedic management of high-level spina bifida. Early walking compared with early use of a wheelchair.










Original Text by Clifford R. Wheeless, III, MD.