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Journal of Hand Surgery (British and European Volume)
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Articles

The Prespinal Route in Contralateral C7 Nerve Root Transfer for Brachial Plexus Avulsion Injuries

C.N. MCGUINESS
S.P.J. KAY

From the Department of Plastic Surgery, St James’s University Hospital, Beckett Street, Leeds, UK

Correspondence: Mr. Simon P Kay, Department of Plastic, Reconstructive and Hand Surgery, St James’ & Seacroft University Hospital, Beckett Street, Leeds LS9 7TF, UK E-mail ssjspk{at}leeds.ac.uk

Contralateral C7 nerve root transfer for brachial plexus injury is described, passing the nerve through a subcutaneous tunnel on the anterior surface of the neck and chest. We recommend passing the nerve graft through the retropharyngeal space. This route has the benefits of a simpler dissection, a shorter distance and protected placement of the graft. It has been used in one clinical case.

Journal of Hand Surgery (British and European Volume), Vol. 27, No. 2, 159-160 (2002)
DOI: 10.1054/JHSB.2001.0665
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