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Direct Cord Implantation in Brachial Plexus Avulsions: Revised Technique Using a Single Stage Combined Anterior (First) Posterior (Second) Approach and End-to-side Side-to-side Grafting Neurorrhaphy by Sherif M Amr; Ahmad M Essam; Amr MS Abdel-Meguid; Ahmad M Kholeif; Ashraf N Moharram; Rashed ER El-Sadek is a Medicine article available to read on EtoBox.

What is Direct Cord Implantation in Brachial Plexus Avulsions: Revised Technique Using a Single Stage Combined Anterior (First) Posterior (Second) Approach and End-to-side Side-to-side Grafting Neurorrhaphy about?

## Background: The superiority of a single stage combined anterior (first) posterior (second) approach and end-to-side side-to-side grafting neurorrhaphy in direct cord implantation was investigated as to providing adequate exposure to both the cervical cord and the brachial plexus, as to causing less tissue damage and as to being more extensible than current surgical approaches. ## Methods: The front and back of the neck, the front and back of the chest up to the midline and the whole affected upper limb were sterilized while the patient was in the lateral position; the patient was next turned into the supine position, the plexus explored anteriorly and the grafts were placed; the patient was then turned again into the lateral position, and a posterior cervical laminectomy was done. the grafts were retrieved posteriorly and side grafted to the anterior cord. using this approach, 5 patients suffering from complete traumatic brachial plexus palsy, 4 adults and 1 obstetric case were operated upon and followed up for 2 years. 2 were c5,6 ruptures and c7,8t1 avulsions. 3 were c5,6,7,8t1 avulsions. c5,6 ruptures were grafted and all avulsions were cord implanted. ## Results: Surgery in

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Author

Sherif M Amr; Ahmad M Essam; Amr MS Abdel-Meguid; Ahmad M Kholeif; Ashraf N Moharram; Rashed ER El-Sadek

Publisher

BioMed Central; Georg Thieme Verlag KG; London: BioMed Central, 2006- (ISSN 1749-7221)

Published

2014

Language

EN

Field

Medicine (Health Sciences)