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Brachial Plexus Neurotization Through Accessory Nerve (Spinal Branch)-musculocutaneous Nerve Anastomosis

Rodrigues, Flávio Freinkel MD, PhD*; Moscovici, Maurício PhD*; Suchmacher, Mendel MD, MACP

doi: 10.1097/WNQ.0b013e3181b0cb2b
Original Articles

This study presents and discusses the authors' experience with the accessory nerve (spinal branch)-musculocutaneous nerve anastomosis technique, as well as its advantages and limitations regarding proximal upper limb functional recovery, after trophism restoration of musculature innervated by C5-C6 corresponding nerves. Eight patients operated for upper brachial plexus lesion due to avulsion of corresponding roots (C5-C6) were retrospectively assessed for 2 years. All patients were operated by the same surgical team and submitted to the same surgical technique, that is, accessory nerve (spinal branch)-musculocutaneous nerve anastomosis, with sural nerve interpositioning. We achieved a 75% satisfactory result rate, which corresponded to upper limb functional recovery in 6 cases.

*Neurosurgery Department, Universidade Federal do Rio de Janeiro Medicine Faculty, Instituto de Neurologia Deolindo Couto

Microbiology-Immunology Department, Faculdade de Medicina de Teresópolis, Rio de Janeiro, Brazil

This study did not receive funding from any institutions.

Reprints: Flávio Freinkel Rodrigues, MD, PhD, Rua Buarque de Macedo, 14/606, CEP 22220-030, Rio de Janeiro, Brazil (e-mail:

© 2009 Lippincott Williams & Wilkins, Inc.