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Journal of Neurorestoratology  2019, Vol. 7 Issue (3): 129-135    doi: 10.26599/JNR.2019.9040013
    
Hand function reconstruction in patients with chronic incomplete lower cervical spinal cord injury by nerve segment insert grafting: a preliminary clinical report
1 Department of Orthopaedics, Changhai Hospital, the Naval Medical University, Shanghai 200433,China 
2 Department of Orthopaedics, Baoshan Branch of Huashan Hospital, Shanghai 200431, China
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Abstract  [Objective] To reconstruct hand functions of quadriplegic patients with chronic
lower cervical spinal cord injury(C5/C6/7/8)using nerve segment insert
grafting.
[Methods] A retrospective analysis was conducted on 18 cases of nerve
segment insert grafting for quadriplegic patients with chronic incomplete lower
cervical spinal cord injury recorded from January 2001 to June 2015, among
which, 12 were males and 6 were females, including 7 cases of right upper
limb, 3 cases of left upper limb, and 7 cases of bilateral upper limb, whose age
ranges from 17 to 55 years, with an average of 27 years.
[Results] The 18 patients were followed up for 3 months ~ 3 years, with an
average of 16 months. Specifically, all patients had obvious relief of limb
spasm. 15 patients showed no obvious spasm attack, with recovered living
abilities (The operation is followed by a recovery of their hand functions of
grasping, holding and pinching, and the pain & temperature sensation of
fingers and palms), and they were able to steer ordinary wheelchair
independently after the surgery. Besides, the remaining 3 cases showed a
significant improvement in hand functions continuously over time, without the
occurrence of significant dysfunction of donors’ nerve functions.
[Conclusion] Nerve segment insert grafting surgery is one of the effective
methods to reconstruct the hand functions of quadriplegic patients with chronic
lower cervical spinal cord injury. Moreover, spasticity can be relieved after
operation and some normal innervation can be obtained in the spastic
muscles.




Key wordschronic lower cervical spinal cord injury      functional reconstruction      nerve segment transplantation
     
Published: 09 October 2019
Cite this article:

Wenbin Ding , Shaocheng Zhang, Dajiang Wu , Yanpeng Zhang , Hualong Ye. Hand function reconstruction in patients with chronic incomplete lower cervical spinal cord injury by nerve segment insert grafting: a preliminary clinical report. Journal of Neurorestoratology, 2019, 7: 129-135.

URL:

http://jnr.tsinghuajournals.com/10.26599/JNR.2019.9040013     OR     http://jnr.tsinghuajournals.com/Y2019/V7/I3/129

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