Surgical Management of Iatrogenic Nerve Root Palsy: Cervical Root

Abstract

Management of permanent iatrogenic cervical nerve root palsy is a challenge faced by spine surgeons. Reconstructive surgery using nerve transfer has shown great hope in restoring somatosensory injuries such as iatrogenic cervical nerve root palsy. Nerve transfer is justified by using less important donor nerves to regain major function. Nerve transfers are cost-effective procedures increasingly used to treat central and peripheral nervous system injuries. This article provides a comprehensive reanimation strategy to restore lost functions after iatrogenic cervical nerve root palsy. After reading this article, the trainers should explain the importance of surgical reconstruction after iatrogenic cervical nerve root palsy; they should manage preoperative assessments, address various nerve transfers based on the level of injury and pattern of paralysis, and plan for postoperative rehabilitation strategy.