{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T18:35:41Z","timestamp":1767033341552},"reference-count":18,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2011,10]]},"abstract":"<jats:sec>\n<jats:title>Object<\/jats:title>\n<jats:p>Contralateral C-7 transfer is often used in patients with brachial plexus avulsion injury. Traditionally, the contralateral C-7 root has only been transferred to a single nerve, such as the median or radial nerve. In this study, the authors aimed to evaluate the efficacy of contralateral C-7 transfer to 2 different recipient nerves in patients with brachial plexus avulsion injuries.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>Between 2004 and 2008, 10 patients with brachial plexus root avulsions underwent nerve reconstruction using a modified C-7 neurotization technique. In this procedure, the contralateral C-7 root was transferred via vascularized ulnar nerve grafts to both the musculocutaneous nerve and the median nerve on the affected side.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>The strength of the biceps muscles increased to M3 or M4 in 6 patients and to M2 in 2 patients. The median nerve transfers led to regained motor function and strength of the wrist and finger flexors with improvement to M3 in 5 patients. Seven patients showed notable gains of sensory function (\u2265 S3).<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Contralateral C-7 transfer to 2 different recipient nerves is a feasible and efficient approach in patients with brachial plexus avulsion injuries when the donor nerve is limited.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2011.6.jns101604","type":"journal-article","created":{"date-parts":[[2011,7,15]],"date-time":"2011-07-15T13:30:53Z","timestamp":1310736653000},"page":"865-869","source":"Crossref","is-referenced-by-count":16,"title":["Modified C-7 neurotization in the treatment of brachial plexus avulsion injury"],"prefix":"10.3171","volume":"115","author":[{"given":"Haodong","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Changzheng Hospital, The Second Military Medical University, Shanghai; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duanqing","family":"Lv","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, The Second People's Hospital of Yun Cheng, Shandong, People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunlin","family":"Hou","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Changzheng Hospital, The Second Military Medical University, Shanghai; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Desong","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Changzheng Hospital, The Second Military Medical University, Shanghai; and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-jns101604","series-title":"J Neurosurg","first-page":"365","article-title":"Surgical repair of brachial plexus injury: a multinational survey of experienced peripheral nerve surgeons","volume":"101","author":"Belzberg","year":"2004"},{"key":"b2-jns101604","series-title":"J Neurosurg","first-page":"1133","article-title":"Selective motor hyperreinnervation by using contralateral C-7 motor rootlets in the reconstruction of an avulsion injury of the brachial plexus. Case report","volume":"90","author":"Bertelli","year":"1999"},{"key":"b3-jns101604","series-title":"Microsurgery","first-page":"107","article-title":"Microscopic anatomy of the adult human brachial plexus: an anatomical and histological basis for microsurgery","volume":"5","author":"Bonnel","year":"1984"},{"key":"b4-jns101604","series-title":"Microsurgery","first-page":"499","article-title":"Intercostal nerve transfer in infants with obstetric brachial plexus palsy","volume":"28","author":"El-Gammal","year":"2008"},{"key":"b5-jns101604","series-title":"Microsurgery","first-page":"117","article-title":"Nerve transfers in children with traumatic partial brachial plexus injuries","volume":"28","author":"Goubier","year":"2008"},{"key":"b6-jns101604","series-title":"J Reconstr Microsurg","first-page":"57","article-title":"Long-term functional results of contralateral C7 transfer","volume":"14","author":"Gu","year":"1998"},{"key":"b7-jns101604","series-title":"J Hand Surg Br","first-page":"518","article-title":"Seventh cervical nerve root transfer from the contralateral healthy side for treatment of brachial plexus root avulsion","volume":"17","author":"Gu","year":"1992"},{"key":"b8-jns101604","series-title":"J Neurosurg","first-page":"266","article-title":"Evaluation of intercostal to musculocutaneous nerve transfer in reconstructive brachial plexus surgery","volume":"88","author":"Malessy","year":"1998"},{"key":"b9-jns101604","series-title":"J Hand Surg Br","first-page":"159","article-title":"The prespinal route in contralateral C7 nerve root transfer for brachial plexus avulsion injuries","volume":"27","author":"Mcguiness","year":"2002"},{"issue":"5","key":"b10-jns101604","series-title":"Neurosurg Focus","first-page":"E5","article-title":"Nerve transfers for severe brachial plexus injuries: a review","volume":"16","author":"Midha","year":"2004"},{"key":"b11-jns101604","series-title":"J Hand Surg Am","first-page":"232","article-title":"Nerve transfer to biceps muscle using a part of ulnar nerve for C5\u2013C6 avulsion of the brachial plexus: anatomical study and report of four cases","volume":"19","author":"Oberlin","year":"1994"},{"key":"b12-jns101604","series-title":"Microsurgery","first-page":"285","article-title":"Neurotizations by means of the cervical plexus in over 100 patients with from one to five root avulsions of the brachial plexus","volume":"14","author":"Rutowski","year":"1993"},{"issue":"4 Suppl","key":"b13-jns101604","series-title":"Neurosurgery","first-page":"A125","article-title":"Phrenic nerve transfer in the restoration of elbow flexion in brachial plexus avulsion injuries: how effective and safe is it?","volume":"65","author":"Siqueira","year":"2009"},{"key":"b14-jns101604","series-title":"J Hand Surg Am","first-page":"1058","article-title":"Hemi-contralateral C7 transfer to median nerve in the treatment of root avulsion brachial plexus injury","volume":"26","author":"Songcharoen","year":"2001"},{"key":"b15-jns101604","series-title":"Plast Reconstr Surg","first-page":"927","article-title":"Selective contralateral c7 transfer in posttraumatic brachial plexus injuries: a report of 56 cases","volume":"123","author":"Terzis","year":"2009"},{"key":"b16-jns101604","series-title":"Dev Med Child Neurol","first-page":"158","article-title":"The findings in paediatric obstetric brachial palsy differ from those in older patients: a suggested explanation","volume":"42","author":"Vredeveld","year":"2000"},{"key":"b17-jns101604","series-title":"J Hand Surg Br","first-page":"556","article-title":"Clinical results of contralateral C7 root neurotization to the median nerve in brachial plexus injuries with total root avulsions","volume":"24","author":"Waikakul","year":"1999"},{"key":"b18-jns101604","series-title":"Chin J Hand Surg (Chin)","first-page":"307","article-title":"Modified C7 neurotization in the treatment of total brachial plexus avulsion: an experimental study","volume":"21","author":"Zhang","year":"2005"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/115\/4\/article-p865.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/115\/4\/article-p865.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/115\/4\/article-p865.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T02:14:51Z","timestamp":1679883291000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/115\/4\/article-p865.xml"}},"subtitle":["Clinical article"],"short-title":[],"issued":{"date-parts":[[2011,10]]},"references-count":18,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.3171\/2011.6.jns101604","relation":{},"ISSN":["0022-3085","1933-0693"],"issn-type":[{"value":"0022-3085","type":"print"},{"value":"1933-0693","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,10]]}}}