Gilbert A, Khouri N, Carlioz H
Rev Chir Orthop Reparatrice Appar Mot. 1980 Jan-Feb;66(1):33-42.
Twenty one cases of birth palsy of the brachial plexus have been explored surgically. The patients were aged from seven weeks to nine years. The results of pre-operative examination are described and myelography is considered to be especially important. It was found that ruptures of the upper roots at the junction of C5-C6 were frequent and could be repaired by nerve graft. Avulsion from the spinal cord was more frequent in the lower roots. It is concluded that surgical exploration and attempted repair should be done early, preferably at the age of two or three months in cases of absence of spontaneous recovery.
对21例臂丛神经产瘫患者进行了手术探查。患者年龄从7周至9岁不等。描述了术前检查结果，并认为脊髓造影尤为重要。发现C5 - C6交界处的上根断裂很常见，可通过神经移植修复。下根从脊髓撕脱更为常见。得出的结论是，应尽早进行手术探查和尝试修复，在没有自发恢复的情况下，最好在两三个月大时进行。
