How it works
This plan shows the right sacral plexus in posterior view, drawn over the sacrum and hip bone. The nerves are spread out so each can be followed from its roots.
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Follow each nerve back to its roots
Numbers 1 to 6 are the roots, from L4 at the top to S4. L4 and L5 join as the lumbosacral trunk (7), which meets the sacral roots in a band. The band goes on as the sciatic nerve (10), which splits into the tibial (11) and common fibular (12) nerves. The other four are the gluteal nerves (8 and 9), the posterior femoral cutaneous nerve (13) and the pudendal nerve (14).
- The upper of the two forked nerves is the superior gluteal; the lower is the inferior gluteal.
- The pudendal nerve takes the lowest roots: S2, S3 and S4.
Questions and answers
Which nerves arise from the sacral plexus?
Five major nerves: the superior gluteal, the inferior gluteal, the sciatic, the posterior femoral cutaneous and the pudendal. The sciatic nerve then divides into the tibial and common fibular nerves. There are smaller branches to nearby muscles as well.
What are the roots of the sacral plexus?
The anterior rami of sacral nerves S1 to S4, joined by lumbar nerves L4 and L5 through the lumbosacral trunk. That is why the plexus is often written L4 to S4.
What are the roots of the sciatic nerve?
L4, L5, S1, S2 and S3. The sciatic nerve is really two nerves in one sheath, the tibial and the common fibular, and it separates into them on the back of the thigh.
What is the lumbosacral trunk?
A thick cord formed by part of L4 and all of L5. It runs down into the pelvis to join the sacral roots, so it links the lumbar plexus to the sacral plexus.