Using Nerve Segment Insert Grafting to Reconstruct Neural Pathways of Brain-Derived Paralysis

Author:

Ding Wenbin1,Zhang Shaocheng1,Wang Zhuo1,Chen Lin2,Zhang Chuansen3,Huang Ping4,Liu Shunfa5,Sun Laiqing6,Ma Yuhai7,Yang Jun8,Huang Fei9,Xue Chengjing10,Zhong Yanxue11,Yin Lei12,Pan Yongtai13,Wu Dajiang1

Affiliation:

1. Department of Orthopaedics, Changhai Hospital, the Naval Medical University, Shanghai 200433, China

2. Department of Neurosurgery, Yuquan Hospital, Tsinghua University, Beijing 100040, China

3. Department of Anatomy, the Second Military Medical University, Shanghai 200433, China

4. Department of Orthopaedics, Jingmen No. 2 People's Hospital, Jingmen 448000, China

5. Department of Orthopaedics, Qinhuangdao Workers' Hospital, Qinhuangdao 066200, China

6. Department of Orthopaedics, Tangshan No. 2 Hospital, Tangshan 063000, China

7. Department of Orthopaedics, Jiaxing Armed Police Force Hospital, Jiaxing 314000, China

8. Department of Neurosurgery, Yantai Hospital, Binzhou Medical University, Yantai 264100, China

9. Department of Anatomy, Binzhou Medical University, Binzhou 256600, China

10. Department of Neurosurgery, North China University of Science and Technology AffiliatedHospital, Tangshan 063000, China

11. Department of Orthopaedics, Tengzhou Central People's Hospital, Tengzhou 277500, China

12. Department of Orthopaedics, Jiangsu Armed Police General Hospital, Yangzhou 225003, China

13. Department of Orthopaedics, the 180th Hospital of PLA, Quanzhou 362008, China

Abstract

Since 1992, task groups have used free nerve auto grafts to bridge partially transected nerves from the dominant area of the normal cerebral cortex to nerves that innervate spastic muscles from a diseased cerebral cortex, using transplanting sutures to alleviate the muscle spasm of cerebral palsy caused by different diseases. This has facilitated rebuilding of some of its neurological function. In this study, 80 such patients were followed up, including 20 patients with traumatic brain injury, 32 patients with stroke, and 28 pediatric patients with cerebral palsy. After postoperative follow-up of 3 to 21 years, the efficacy rate of this operation was 100% and the excellent and good spasm relief rate was 82.5%.

Publisher

SAGE Publications

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