Neurosurgery Department, Siloam Hospitals Lippo Village, Pelita Harapan University, Tangerang, Indonesia.
World Neurosurg. 2013 Dec;80(6):e319-26. doi: 10.1016/j.wneu.2012.10.001. Epub 2012 Oct 5.
Spinal cord injury (SCI) is a devastating condition, which beleaguers its victims with long-term health issues. Nerve transfer is a feasible option for restoration of critical limb function in patients with SCI that potentially improves independence and quality of life.
This article delineates the general principles of nerve transfer and its specific application pertinent to SCI. The available nerve transfer strategies are described based on the targeted limb function, mostly involving critical upper extremity function. The role of nerve transfer for paraplegia, diaphragm reanimation, and bladder reinnervation is also discussed.
Nerve transfer offers several advantages over the traditionally used tendon transfer.
Nerve transfer does not require prolonged immobilization and provides greater functional gain for a given transfer. Reconstruction of several facets of upper limb function potentially can be performed in a single stage. The merits of nerve transfer deserve further study to evaluate its value for spinal cord injury in humans.
脊髓损伤（SCI）是一种毁灭性的疾病，会给患者带来长期的健康问题。神经转移是一种可行的选择，可以恢复 SCI 患者的关键肢体功能，有可能提高独立性和生活质量。
本文阐述了神经转移的一般原则及其在 SCI 中的具体应用。根据目标肢体功能，描述了现有的神经转移策略，主要涉及关键的上肢功能。还讨论了神经转移在截瘫、膈肌再兴奋和膀胱再神经支配中的作用。
神经转移比传统的肌腱转移具有几个优势。
神经转移不需要长时间的固定，并且可以为给定的转移提供更大的功能增益。上肢功能的几个方面的重建可以在一个阶段内完成。神经转移的优点值得进一步研究，以评估其对人类脊髓损伤的价值。
