Early grafting in severe adult traumatic brachial plexus injury

Neurosurg Focus Video. 2023 Jan 1;8(1):V13. doi: 10.3171/2022.10.FOCVID2288. eCollection 2023 Jan.

Abstract

Nerve surgical treatment for severe adult traumatic brachial plexus injury is traditionally delayed for months to await spontaneous recovery. Since 2009, the authors have strived to operate on patients with severe brachial plexus lesions within 2 weeks after trauma. This video shows the workup, surgical strategy, and benefits of early supraclavicular nerve grafting, including intraoperative nerve stimulation. The video can be found here: https://stream.cadmore.media/r10.3171/2022.10.FOCVID2288.

Keywords: brachial plexus injury; early nerve grafting; intraoperative nerve stimulation.