Brachial Plexus Neurotization Through Accessory Nerve (Spinal Branch)-musculocutaneous Nerve AnastomosisRodrigues, Flávio Freinkel MD, PhD*; Moscovici, Maurício PhD*; Suchmacher, Mendel MD, MACP†Neurosurgery Quarterly: December 2009 - Volume 19 - Issue 4 - p 219-221 doi: 10.1097/WNQ.0b013e3181b0cb2b Original Articles Buy Abstract Author InformationAuthors Article MetricsMetrics 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: firstname.lastname@example.org). © 2009 Lippincott Williams & Wilkins, Inc.