Carlstedt Thomas
Imperial College, Hammersmith Hospital, London, UK.
Neurosurg Clin N Am. 2009 Jan;20(1):39-50, vi. doi: 10.1016/j.nec.2008.07.020.
Traumatic avulsion of nerve roots from the spinal cord is a devastating event that usually occurs in the brachial plexus of young adults following motor vehicle or sports accidents or in newborn children during difficult childbirth. A strategy to restore motor function in the affected arm by reimplanting into the spinal cord the avulsed ventral roots or autologous nerve grafts connected distally to the avulsed roots has been developed. Surgical outcome is good and useful recovery in shoulder and proximal arm muscles occurs. Pain is alleviated with motor recovery but sensory improvement is poor when only motor conduits have been reconstructed. In experimental studies, restoration of sensory connections with general improvement in the outcome from this surgery is pursued.
脊髓神经根的创伤性撕脱是一种灾难性事件，通常发生在年轻成人的臂丛神经，继发于机动车事故或体育事故，或发生在新生儿难产时。一种通过将撕脱的腹侧神经根重新植入脊髓或与撕脱神经根远端相连的自体神经移植物来恢复患侧手臂运动功能的策略已经被开发出来。手术效果良好，肩部和上臂近端肌肉出现了有益的恢复。运动功能恢复后疼痛减轻，但仅重建运动传导通路时感觉改善不佳。在实验研究中，人们致力于恢复感觉连接以全面改善该手术的效果。
