{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:07:37Z","timestamp":1787026057186,"version":"build-2736575974"},"reference-count":37,"publisher":"Korean Neurosurgical Society","issue":"2","license":[{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["jkns.or.kr"],"crossmark-restriction":true},"short-container-title":["J Korean Neurosurg Soc"],"published-print":{"date-parts":[[2026,3,1]]},"abstract":"<jats:p>Objective : The efficacy of brachial plexus decompression through a supraclavicular approach for neurogenic thoracic outlet syndrome (TOS) and its impact on surgical outcomes were investigated.Methods : The outcomes of pain reduction and functional improvement were evaluated in 31 patients with neurogenic TOS who underwent a supraclavicular decompression. These patients were followed for at least 12 months. Pain reduction was quantified using a numerical rating scale-11 (NRS-11) score and percentage pain relief before and after the last follow-up. Functional and symptomatic outcomes were assessed using the QuickDASH (Disability of the Arm, Shoulder, and Hand 11-item version) questionnaire, and changes in functional disability were measured by the percentage change in QuickDASH scores. Success was defined as at least a 50% reduction in pain as measured by the NRS-11, and factors influencing surgical success were also explored.Results : At a follow-up of 31.7\u00b111.7 months, supraclavicular brachial plexus decompression was successful in 24 of 31 patients (77.4%), with a mean pain relief rate of 54.3\u00b129.0. Functional outcomes assessed by QuickDASH scores improved significantly (from 52.7\u00b112.6 to 23.6\u00b117.9), with a percentage reduction of 56.36\u00b131.56. There were no neurological complications associated with the surgery, although one reoperation was required due to postoperative chyle leakage.Conclusion : Brachial plexus decompression through a supraclavicular approach proved effective in alleviating pain and functional disability in patients with neurogenic TOS.<\/jats:p>","DOI":"10.3340\/jkns.2024.0232","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T07:38:12Z","timestamp":1767771492000},"page":"238-246","update-policy":"https:\/\/doi.org\/10.3340\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Pain and Functional Outcome of Supraclavicular Decompression of the Brachial Plexus for Neurogenic Thoracic Outlet Syndrome"],"prefix":"10.3340","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9739-1946","authenticated-orcid":true,"given":"Byung-chul","family":"Son","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1892","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2003.12.050"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/s0749-0712(03)00078-7"},{"key":"ref3","first-page":"1038","volume-title":"Development of the QuickDASH: comparison of three item-reduction approaches","author":"Beaton","year":"2005"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2023.03.005"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/s0749-0712(03)00080-5"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/0967-2109(96)82859-6"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-010-1179-1"},{"key":"ref8","first-page":"310","volume-title":"","author":"Colbert","year":"2015"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2272012111"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1002\/(sici)1098-2353(1997)10:4<250::aid-ca6>3.0.co;2-w"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/1099222"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.12.052"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.21129\/nerve.2022.00199"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.21129\/nerve.2022.00220"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.13004\/kjnt.2022.18.e58"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2013.12.010"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1053\/j.optechstcvs.2005.11.002"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1067\/msg.2002.127926"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1016\/s1052-3359(25)00454-5"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/s1052-3359(25)00454-5"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/s0030-5898(20)32121-0"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(93)90364-9"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2016.07.065"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1016\/s0025-6196(26)01857-4"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1002\/(sici)1098-2353(1996)9:1<50::aid-ca10>3.3.co;2-2"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-211-72958-8_31"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-196603000-00005"},{"key":"ref28","first-page":"771","volume-title":"Congenital anomalies associated with thoracic outlet syndrome. Anatomy, symptoms, diagnosis, and treatment","author":"Roos","year":"1976"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1016\/s0749-0712(03)00079-9"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(89)90005-0"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1739228"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/9381881"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.21129\/nerve.2022.00087"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1016\/s1052-3359(25)00455-7"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1016\/s0003-4975(10)60574-7"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.06.120"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20507"}],"container-title":["Journal of Korean Neurosurgical Society"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/jkns.or.kr\/upload\/pdf\/jkns-2024-0232.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/jkns.or.kr\/journal\/view.php?doi=10.3340\/jkns.2024.0232","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/jkns.or.kr\/upload\/pdf\/jkns-2024-0232.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T01:52:17Z","timestamp":1772589137000},"score":1,"resource":{"primary":{"URL":"http:\/\/jkns.or.kr\/journal\/view.php?doi=10.3340\/jkns.2024.0232"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,1]]},"references-count":37,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"URL":"https:\/\/doi.org\/10.3340\/jkns.2024.0232","relation":{},"ISSN":["2005-3711","1598-7876"],"issn-type":[{"value":"2005-3711","type":"print"},{"value":"1598-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,1]]},"assertion":[{"value":"2024-12-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-07","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-01","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}