Patient outcome after surgical management of the spinal accessory nerve injury: A long-term follow-up study:

SAGE Open Medicine

HarryGöransson¹ 

关键词: Nerve grafting;    neurolysis;    nerve repair;    operative delay;    patient satisfaction;    range of movement;    spinal accessory nerve;   

DOI  :  10.1177/2050312116645731

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Objectives:A lesion in the spinal accessory nerve is typically iatrogenic: related to lymph node biopsy or excision. This injury may cause paralysis of the trapezius muscle and thus result in a characteristic group of symptoms and signs, including depression and winging of the scapula, drooped shoulder, reduced shoulder abduction, and pain. The elements evaluated in this long-term follow-up study include range of shoulder motion, pain, patients’ satisfaction, delay of surgery, surgical procedure, occupational status, functional outcome, and other clinical findings.Methods:We reviewed the medical records of a consecutive 37 patients (11 men and 26 women) having surgery to correct spinal accessory nerve injury. Neurolysis was the procedure in 24 cases, direct nerve repair for 9 patients, and nerve grafting for 4. Time elapsed between the injury and the surgical operation ranged from 2 to 120 months. The patients were interviewed and clinically examined after an average of 10.2 years postoperatively.Results:...

【 授权许可】

CC BY