{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:41:04Z","timestamp":1760146864251},"reference-count":19,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1999,6]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Brachial plexus avulsion injuries are a clinical challenge. In recent experimental studies the authors have demonstrated the high degree of muscle reinnervation attained when a C-4 motor rootlet was directly connected to the musculocutaneous nerve. This degree of reinnervation was attributed to the good chance that a muscle fiber can be reinnervated by a motor fiber when the number of regenerating motor neurons is increased and when competitive sensory fibers are excluded from the process. The authors present the first clinical case in which this phenomenon has been observed. This 26-year-old man, who was involved in an automobile accident, presented with an upper brachial plexus avulsion, for which he underwent operation 4 months later. The axillary and suprascapular nerves were directly surgically connected to the motor rootlets of the C-7 contralateral root by using two cables of sural nerve graft. Two years postsurgery, the patient was able to perform shoulder abduction of 120\u00b0 and hold an 800-g weight at 90\u00b0. These results are encouraging, and in selected patients motor rootlet transfer might prove to be a useful surgical strategy.<\/jats:p>","DOI":"10.3171\/jns.1999.90.6.1133","type":"journal-article","created":{"date-parts":[[2009,5,13]],"date-time":"2009-05-13T17:20:38Z","timestamp":1242235238000},"page":"1133-1136","source":"Crossref","is-referenced-by-count":18,"title":["Selective motor hyperreinnervation by using contralateral C-7 motor rootlets in the reconstruction of an avulsion injury of the brachial plexus"],"prefix":"10.3171","volume":"90","author":[{"given":"Jayme A.","family":"Bertelli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcos F.","family":"Ghizoni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"79","DOI":"10.3171\/jns.1997.87.1.0079","article-title":"Selective motor hyperreinnervation using motor rootlet transfer: an experimental study in rat brachial plexus.","volume":"87","author":"Bertelli","year":"1997"},{"key":"b2","series-title":"Rest Neurol Neurosci","first-page":"5","article-title":"Muscle fiber type reorganization and behavioral functional recovery of rat median nerve repair with vascularized and conventional nerve grafts.","volume":"10","author":"Bertelli","year":"1996"},{"key":"b3","series-title":"J Neurosci","doi-asserted-by":"publisher","first-page":"1026","DOI":"10.1523\/JNEUROSCI.08-03-01026.1988","article-title":"Preferential reinnervation of motor nerves by regenerating motor axons.","volume":"8","author":"Brushart","year":"1988"},{"key":"b4","series-title":"Plast Reconst Surg","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1097\/00006534-199309001-00023","article-title":"Cross-chest C7 nerve grafting followed by free muscle transplantions for the treatment of total avulsed brachial plexus injuries: a preliminary report.","volume":"92","author":"Chuang","year":"1993"},{"key":"b5","series-title":"Cell Surgery to Repair Divided Nerves.","first-page":"90","author":"de Medinaceli","year":"1994"},{"key":"b6","series-title":"Biosystems","first-page":"243","article-title":"Is it possible to predict the outcome of peripheral nerve injuries? A probability model based on prospects for regenerating neurites.","volume":"20","author":"de Medinaceli","year":"1988"},{"key":"b7","series-title":"Soc Neurosci Abstr","first-page":"331","article-title":"Regeneration of spinal motor axons into cutaneous sensory pathways.","volume":"13","author":"Farel","year":"1987"},{"key":"b8","series-title":"J Hand Surg (Br)","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1016\/S0266-7681(97)80076-9","article-title":"Functional motor innervation of brachial plexus roots. An intraoperative electrophysiological study.","volume":"22","author":"Gu","year":"1997"},{"key":"b9","series-title":"Chin Med J","first-page":"208","article-title":"Cervical nerve root transfer from contralateral normal side for treatment of brachial plexus root avulsions.","volume":"104","author":"Gu","year":"1991"},{"key":"b10","series-title":"Eur J Morphol","first-page":"418","article-title":"Ventral root avulsions of the cat spinal cord at the brachial plexus level (cervical 7).","volume":"28","author":"Hoffmann","year":"1990"},{"key":"b11","series-title":"Neurosci Lett","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1016\/0304-3940(89)90266-8","article-title":"Mismatches between peripheral receptor type and central projections after peripheral nerve regeneration.","volume":"99","author":"Koerber","year":"1989"},{"key":"b12","series-title":"J Hand Surg (Br)","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/S0266-7681(96)80270-1","article-title":"Transfer of nerve fibres from C7 of the contralateral side to neurotisize segments of completely avulsed brachial plexus.","volume":"21","author":"Kus","year":"1996"},{"key":"b13","series-title":"J Reconstr Microsurg","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1055\/s-2007-1000230","article-title":"Neurologic deficit and recovery in the donor limb following cross-C7 transfer in brachial-plexus injury.","volume":"13","author":"Liu","year":"1997"},{"key":"b14","series-title":"J Neurosci","doi-asserted-by":"publisher","first-page":"5698","DOI":"10.1523\/JNEUROSCI.16-18-05698.1996","article-title":"Reinnervation accuracy of the rat femoral nerve by motor and sensory neurons.","volume":"16","author":"Madison","year":"1996"},{"key":"b15","series-title":"J Reconstr Microsurg","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1055\/s-2007-1006629","article-title":"The selectivity of motor axons during regeneration with sensory axons.","volume":"12","author":"Maki","year":"1996"},{"key":"b16","series-title":"J Reconstr Microsurg","doi-asserted-by":"publisher","first-page":"547","DOI":"10.1055\/s-2007-1006628","article-title":"The selectivity of regenerating motor and sensory axons.","volume":"12","author":"Maki","year":"1996"},{"key":"b17","series-title":"Clin Orthop","first-page":"43","article-title":"Neurotization in brachial plexus injuries. Indications and results.","volume":"237","author":"Narakas","year":"1988"},{"key":"b18","series-title":"Brain Res","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1016\/0006-8993(85)91038-8","article-title":"Specificity in mammalian peripheral nerve regeneration at the level of the nerve trunk.","volume":"328","author":"Politis","year":"1985"},{"key":"b19","series-title":"Degeneration and Regeneration of the Nervous System.","first-page":"308","author":"Ramon y Cajal","year":"1959"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/90\/6\/article-p1133.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/90\/6\/article-p1133.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/90\/6\/article-p1133.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,13]],"date-time":"2022-11-13T02:52:53Z","timestamp":1668307973000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/90\/6\/article-p1133.xml"}},"subtitle":["Case report"],"short-title":[],"issued":{"date-parts":[[1999,6]]},"references-count":19,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/jns.1999.90.6.1133","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1999,6]]}}}