Nerve Transfer Strategies for Spinal Cord Injury

Senjaya, Ferry; Midha, Rajiv

doi:10.1016/j.wneu.2012.10.001

Cited by 51 publications

(38 citation statements)

References 41 publications

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“… 1 Although most SCI research has focused on neuroprotection and neuroregeneration, recent applications of peripheral nerve reinnervation strategies for SCI show significant promise. 2 3 4 …”

Section: Introductionmentioning

confidence: 99%

Transfer of the Brachialis to the Anterior Interosseous Nerve as a Treatment Strategy for Cervical Spinal Cord Injury: Technical Note

Hawasli

Chang

Reynolds

et al. 2014

Global Spine Journal

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Study Design Technical report. Objective To provide a technical description of the transfer of the brachialis to the anterior interosseous nerve (AIN) for the treatment of tetraplegia after a cervical spinal cord injury (SCI). Methods In this technical report, the authors present a case illustration of an ideal surgical candidate for a brachialis-to-AIN transfer: a 21-year-old patient with a complete C7 spinal cord injury and failure of any hand motor recovery. The authors provide detailed description including images and video showing how to perform the brachialis-to-AIN transfer. Results The brachialis nerve and AIN fascicles can be successfully isolated using visual inspection and motor mapping. Then, careful dissection and microsurgical coaptation can be used for a successful anterior interosseous reinnervation. Conclusion The nerve transfer techniques for reinnervation have been described predominantly for the treatment of brachial plexus injuries. The majority of the nerve transfer techniques have focused on the upper brachial plexus or distal nerves of the lower brachial plexus. More recently, nerve transfers have reemerged as a potential reinnervation strategy for select patients with cervical SCI. The brachialis-to-AIN transfer technique offers a potential means for restoration of intrinsic hand function in patients with SCI.

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Section: Introductionmentioning

confidence: 99%

Transfer of the Brachialis to the Anterior Interosseous Nerve as a Treatment Strategy for Cervical Spinal Cord Injury: Technical Note

Hawasli

Chang

Reynolds

et al. 2014

Global Spine Journal

View full text Add to dashboard Cite

show abstract

“…Tetraplegic [88] and stroke [95] patient treatments are an area of expansion, aiming to recover some functions in the upper limbs that can improve their quality of life [88,96]. The rationale behind is to use nerve transfers to recover specific functions (like finger movement) in areas of irreversible spinal cord or motor strip damage [76,97].…”

Section: Future Treatment Possibilitiesmentioning

confidence: 99%

Introductory Chapter: Brachial Plexus Injuries - Past, Present, and Future

Vanaclocha¹,

Saiz-Sapena²

2019

Treatment of Brachial Plexus Injuries

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“…Preservation of the anterior horn cells results in an upper motor neuron (UMN) paralysis of these muscles. 22 The nerves to the first group of muscles represent potential donor nerves. The nerves to the latter two groups are potential recipients for nerve transfer surgery.…”

Section: Timingmentioning

confidence: 99%