{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T12:56:31Z","timestamp":1762865791339},"reference-count":10,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2011,6]]},"abstract":"<jats:sec>\n<jats:title>Object<\/jats:title>\n<jats:p>Additional nerve transfer options are important to the peripheral nerve surgeon to maximize patient outcomes following nerve injuries. Potential regional donors may also be injured or involved in the primary disease. Therefore, potential contralateral donor nerves would be desirable. To the authors' knowledge, use of the contralateral spinal accessory nerve (SAN) has not been explored for ipsilateral neurotization procedures. In the current study, therefore, the authors aimed to evaluate the SAN as a potential donor nerve for contralateral nerve injuries by using a novel technique.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>In 10 cadavers, the SAN was harvested using a posterior approach, and tunneled subcutaneously to the contralateral side for neurotization to various branches of the brachial plexus. Measurements were made of the SAN available for transfer and of its diameter.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>The authors found an SAN length of approximately 20 cm (from transition of upper and middle fibers of the trapezius muscle to approximately 2\u20134 cm superior to the insertion of the trapezius muscle onto the spinous process of T-12) available for nerve transposition. The average diameter was 2.5 mm.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Based on these findings, the contralateral SAN may be considered for ipsilateral neurotization to the suprascapular and axillary nerves.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2011.2.jns1122","type":"journal-article","created":{"date-parts":[[2011,3,5]],"date-time":"2011-03-05T12:54:28Z","timestamp":1299329668000},"page":"1538-1540","source":"Crossref","is-referenced-by-count":10,"title":["Contralateral spinal accessory nerve for ipsilateral neurotization of branches of the brachial plexus: a cadaveric feasibility study"],"prefix":"10.3171","volume":"114","author":[{"given":"R. Shane","family":"Tubbs","sequence":"first","affiliation":[{"name":"Section of Pediatric Neurosurgery, Children's Hospital, Birmingham, Alabama;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin M.","family":"Mortazavi","sequence":"additional","affiliation":[{"name":"Section of Pediatric Neurosurgery, Children's Hospital, Birmingham, Alabama;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammadali M.","family":"Shoja","sequence":"additional","affiliation":[{"name":"Goodman Campbell Brain and Spine, Department of Neurological Surgery, Indiana University, Indianapolis, Indiana; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marios","family":"Loukas","sequence":"additional","affiliation":[{"name":"Department of Anatomical Sciences, St. George's University, Grenada, West Indies"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron A.","family":"Cohen-Gadol","sequence":"additional","affiliation":[{"name":"Goodman Campbell Brain and Spine, Department of Neurological Surgery, Indiana University, Indianapolis, Indiana; and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-jns1122","series-title":"Neurotization by the spinal accessory nerve Clin Plast Surg","first-page":"133","article-title":"Paralysis in root avulsion of the brachial plexus","volume":"11","author":"Allieu","year":"1984"},{"key":"b2-jns1122","series-title":"Traumatic Brachial Plexus Injuries","first-page":"33","article-title":"Nerves available for neurotization The spinal accessory nerve","author":"Alnot","year":"1996"},{"key":"b3-jns1122","series-title":"Plast Reconstr Surg","first-page":"240","article-title":"The dorsal approach to the suprascapular nerve in neuromuscular reanimation for obstetric brachial plexus lesions","volume":"115","author":"Bahm","year":"2005"},{"key":"b4-jns1122","series-title":"Chin Med J (Engl)","first-page":"707","article-title":"Restoration of shoulder abduction by transfer of the spinal accessory nerve to suprascapular nerve through dorsal approach: a clinical study","volume":"119","author":"Guan","year":"2006"},{"key":"b5-jns1122","series-title":"Seikei Geka","first-page":"963","article-title":"Postoperative results of nerve transposition in brachial plexus injury","volume":"22","author":"Kotani","year":"1971"},{"key":"b6-jns1122","series-title":"Muscle Nerve","first-page":"1116","article-title":"Changes in nerve fiber numbers distal to a nerve repair in the rat sciatic nerve model","volume":"14","author":"Mackinnon","year":"1991"},{"key":"b7-jns1122","series-title":"Surg Neurol","first-page":"7","article-title":"Reinnervation of avulsed brachial plexus using the spinal accessory nerve","volume":"33","author":"Samardzic","year":"1990"},{"key":"b8-jns1122","series-title":"J Hand Surg Am","first-page":"387","article-title":"Spinal accessory neurotization for restoration of elbow flexion in avulsion injuries of the brachial plexus","volume":"21","author":"Songcharoen","year":"1996"},{"key":"b9-jns1122","series-title":"J Neurosurg","first-page":"749","article-title":"The contralateral long thoracic nerve as a donor for upper brachial plexus neurotization procedures: cadaveric feasibility study. Laboratory investigation","volume":"110","author":"Tubbs","year":"2009"},{"key":"b10-jns1122","series-title":"Clin Anat","first-page":"899","article-title":"An anatomic study of the spinal accessory nerve: extended harvest permits direct nerve transfer to distal plexus targets","volume":"20","author":"Vathana","year":"2007"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/114\/6\/article-p1538.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/114\/6\/article-p1538.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/114\/6\/article-p1538.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T05:17:18Z","timestamp":1679894238000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/114\/6\/article-p1538.xml"}},"subtitle":["Laboratory investigation"],"short-title":[],"issued":{"date-parts":[[2011,6]]},"references-count":10,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/2011.2.jns1122","relation":{},"ISSN":["0022-3085","1933-0693"],"issn-type":[{"value":"0022-3085","type":"print"},{"value":"1933-0693","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,6]]}}}