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KMID : 0359819930220101148
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Journal of Korean Neurosurgical Society
1993 Volume.22 No. 10 p.1148 ~ p.1152
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Coaptation of the Anterior Ramus of C4 to the C5 Root-for Cervical Nerve Root Avulsion
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Abstract
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There is no surgical procedure, which has been available to repair cervical nerve root avulsion inside the spinal canal. Several nerve grafts and muscle transfer had performed. In some patients. Neurotization with nerve coaptation, often refered
to
as
anastomosis' of the intercostal to the musculocutaneours nerve has restored useful function of biceps, but other muscles remained paralyzed. However no procedure has been available to allow recovery of function of the enthe groups of muscles.
The atuhor have performed bridge-graft coaptation in a patient with C-5 nerve root avulsion. The components of the coaptation included the anterior primary ramus of C-4 a the donor materioa, the C-5 root as the recipient, and the sural nerve
graft
as
the br5idge. After operation. functional recovery occurred in the muscles innervated by the C-5 root and sensation improved. This procedure is effective and recommanded as a new approach to treatment of cervical nerve avulsion and proximal
brachial
plexopathy.
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KEYWORD
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