Spinal to accessory nerve transfer in traumatic brachial plexus palsy: Is body mass index a predictor of outcome?

Introduction: Several factors that affect functional recovery after surgery in severe brachial plexus lesions have been identified, i.e., time to surgery and presence of root avulsions. The body mass index (BMI) of the patient could be one of these possible factors. The objective of the present pape...

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Autor principal: Socolovsky, M.
Otros Autores: Di Masi, G., Bonilla, G., Malessy, M.
Formato: Capítulo de libro
Lenguaje:Inglés
Publicado: 2014
Acceso en línea:Registro en Scopus
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100 1 |a Socolovsky, M. 
245 1 0 |a Spinal to accessory nerve transfer in traumatic brachial plexus palsy: Is body mass index a predictor of outcome? 
260 |c 2014 
270 1 0 |m Socolovsky, M.; Nerve and Plexus Surgery Program, Division of Neurosurgery, University of Buenos Aires School of Medicine, La Pampa 1175 Torre 2 5A, Buenos Aires 1428, Argentina; email: socolovsky@fibertel.com.ar 
506 |2 openaire  |e Política editorial 
504 |a Aparecida Leandro-Merhi, V., Luiz Braga De Aquino, J., Gonzaga Teixeira De Camargo, J., Agreement between body mass index, calf circumference, arm circumference, habitual energy intake and the MNA in hospitalized elderly (2012) J Nutr Health Aging, 16, pp. 128-132. , 1:STN:280:DC%2BC383itFWqtg%3D%3D 22323346 10.1007/s12603-011-0098-1 
504 |a Bertelli, J.A., Ghizoni, M.F., Reconstruction of C5 and C6 Brachial Plexus Avulsion Injury by Multiple Nerve Transfers: Spinal Accessory to Suprascapular, Ulnar Fascicles to Biceps Branch, and Triceps Long or Lateral Head Branch to Axillary Nerve (2004) Journal of Hand Surgery, 29 (1), pp. 131-139. , DOI 10.1016/j.jhsa.2003.10.013 
504 |a (2012), http://www1.imperial.ac.uk/medicine/about/divisions/publichealth/eph/ projects/eresh/majidezzati/, BMC Public Health Body mass index (BMI) by country, Global Burden of Metabolic Risk Factors of Chronic Diseases Collaborating Group (2011); Chuang, D.C., Lee, G.W., Hashem, F., Wei, F.C., Restoration of shoulder abduction by nerve transfer in avulsed brachial plexus injury: Evaluation of 99 patients with various nerve transfers (1995) Plast Reconstr Surg, 96, pp. 122-128. , 1:STN:280:DyaK2MzislOntA%3D%3D 7604091 10.1097/00006534-199507000-00019 
504 |a Cooley, S.M., Donnelly, J.C., Walsh, T., Durnea, U., Collins, C., Rodeck, C.H., Hindmarsh, P.C., Geary, M.P., The relationship between body mass index and mid-arm circumference in a pregnant population (2011) J Obstet Gynaecol, 31, pp. 594-596. , 1:STN:280:DC%2BC3MfovVGrug%3D%3D 21973130 10.3109/01443615.2011.597892 
504 |a Dong, Z., Zhang, C.G., Gu, Y.D., Surgical outcome of phrenic nerve transfer to the anterior division of the upper trunk in treating brachial plexus avulsion (2010) J Neurosurg, 112, pp. 383-385. , 19445569 10.3171/2009.4.JNS081064 
504 |a Elhassan, B., Bishop, A.T., Hartzler, R.U., Shin, A.Y., Spinner, R.J., Tendon transfer options about the shoulder in patients with brachial plexus injury (2012) J Bone Joint Surg Am, 94, pp. 1391-1398. , 22854992 10.2106/JBJS.J.01913 
504 |a Finucane, M.M., Stevens, G.A., Cowan, M.J., Danaei, G., Lin, J.K., Paciorek, C.J., Singh, G.M., Ezzati, M., National, regional, and global trends in body-mass index since 1980: Systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants (2011) Lancet, 377, pp. 557-567. , 21295846 10.1016/S0140-6736(10)62037-5 
504 |a Flores, L.P., Clinical patterns of spontaneous recovery of paralyzed triceps brachii associated with C5 to C7 injuries of the brachial plexus (2012) J Reconstr Microsurg, 28, pp. 181-187. , 22274772 10.1055/s-0031-1301069 
504 |a Jivan, S., Kumar, N., Wiberg, M., Kay, S., The influence of pre- surgical delay on functional outcome after reconstruction of brachial plexus injuries (2009) J Plast Reconstr Aesthet Surg, 62, pp. 472-479. , 1:STN:280:DC%2BD1M3jsVCqsQ%3D%3D 18485850 10.1016/j.bjps.2007.11.027 
504 |a Khadivzadeh, T., Mid upper arm and calf circumferences as indicators of nutritional status in women of reproductive age (2002) Eastern Mediterranean Health Journal, 8 (4-5), pp. 612-618 
504 |a Luedemann, W., Hamm, M., Blomer, U., Samii, M., Tatagiba, M., Brachial plexus neurotization with donor phrenic nerves and its effect on pulmonary function (2002) Journal of Neurosurgery, 96 (3), pp. 523-526 
504 |a Malessy, M.J.A., De Ruiter, G.C.W., De Boer, K.S., Thomeer, R.T.W.M., Evaluation of suprascapular nerve neurotization after nerve graft or transfer in the treatment of brachial plexus traction lesions (2004) Journal of Neurosurgery, 101 (3), pp. 377-389 
504 |a Malessy, M.J.A., Van Duinen, S.G., Feirabend, H.K.P., Thomeer, R.T.W.M., Correlation between histopathological findings in C-5 and C-6 nerve stumps and motor recovery following nerve grafting for repair of brachial plexus injury (1999) Journal of Neurosurgery, 91 (4), pp. 636-644 
504 |a Merrell, G.A., Barrie, K.A., Katz, D.L., Wolfe, S.W., Results of nerve transfer techniques for restoration of shoulder and elbow function in the context of a meta-analysis of the English literature (2001) Journal of Hand Surgery, 26 (2), pp. 303-314. , DOI 10.1053/jhsu.2001.21518 
504 |a Midha, R., Nerve transfers for severe brachial plexus injuries: A review (2004) Neurosurg Focus, 15, p. 5 
504 |a Samii, A., Adolpho Carvalho, G., Samii, M., Brachial plexus injury: Factors affecting functional outcome in spinal accessory nerve transfer for the restoration of elbow flexion (2003) Journal of Neurosurgery, 98 (2), pp. 307-312 
504 |a Socolovsky, M., Di Masi, G., Battaglia, D., Use of long autologous nerve grafts in brachial plexus reconstruction: Factors that affect the outcome (2011) Acta Neurochir, 153, pp. 2231-2240. , 21866328 10.1007/s00701-011-1131-1 
504 |a (2011) World Population Prospects: The 2010 Revision, , United Nations Department of Economic and Social Affairs Population Division CD-ROM Edition, UN New York 
504 |a (2005) The SuRF Report 2. Surveillance of Chronic Disease Risk Factors: Country-level Data and Comparable Estimates, , WHO Global Infobase Team World Health Organization Geneva 
520 3 |a Introduction: Several factors that affect functional recovery after surgery in severe brachial plexus lesions have been identified, i.e., time to surgery and presence of root avulsions. The body mass index (BMI) of the patient could be one of these possible factors. The objective of the present paper is to systematically study the relationship between BMI and the outcome of abduction following spinal accessory to suprascapular nerve transfer. Methods: We retrospectively studied 18 cases that followed these inclusion criteria: (1) Male patients with a spinal accessory to suprascapular nerve transfer as the only procedure for shoulder function reanimation; (2) at least C5-C6 root avulsion; (3) interval between trauma and surgery less than 12 months; (4) follow-up was at least 2 years; (5) no concomitant injury of the shoulder girdle. Pearson correlation analysis and linear regression was performed for BMI versus shoulder abduction. Results: The mean range of post-operative abduction obtained across the entire series was 49.7 (SD ± 30.2). Statistical evaluation revealed a significant, negative moderately strong correlation between BMI and post-operative range of shoulder abduction (r = -0.48, p = 0.04). Upon simple linear regression, time to surgery (p = 0.04) was the only statistically significant predictor of abduction range negatively correlated. Conclusions: Analysis of this series suggests that a high BMI of patients undergoing brachial plexus surgery is a negative predictor of outcome, albeit less important than others like time from trauma to surgery. Nevertheless, the BMI of patients should be taken into consideration when planning surgical strategies for reconstruction. © 2013 Springer-Verlag Wien.  |l eng 
593 |a Nerve and Plexus Surgery Program, Division of Neurosurgery, University of Buenos Aires School of Medicine, La Pampa 1175 Torre 2 5A, Buenos Aires 1428, Argentina 
593 |a Nerve Centre, Department of Neurosurgery, Leiden University Centre, Leiden, Netherlands 
690 1 0 |a BODY MASS INDEX 
690 1 0 |a BRACHIAL PLEXUS INJURY 
690 1 0 |a NERVE TRANSFER 
690 1 0 |a SURGICAL RESULTS 
690 1 0 |a ABDUCTION 
690 1 0 |a ACCESSORY NERVE 
690 1 0 |a ADOLESCENT 
690 1 0 |a ADULT 
690 1 0 |a ARTICLE 
690 1 0 |a AVULSION INJURY 
690 1 0 |a BODY MASS 
690 1 0 |a BRACHIAL PLEXUS INJURY 
690 1 0 |a CLINICAL ARTICLE 
690 1 0 |a FOLLOW UP 
690 1 0 |a HUMAN 
690 1 0 |a MALE 
690 1 0 |a MIDDLE AGED 
690 1 0 |a MUSCLE STRENGTH 
690 1 0 |a NERVE ROOT 
690 1 0 |a NERVE TRANSPLANTATION 
690 1 0 |a PARALYSIS 
690 1 0 |a POSTOPERATIVE PERIOD 
690 1 0 |a PREDICTOR VARIABLE 
690 1 0 |a PRIORITY JOURNAL 
690 1 0 |a RANGE OF MOTION 
690 1 0 |a RETROSPECTIVE STUDY 
690 1 0 |a SHOULDER GIRDLE 
690 1 0 |a SPINAL NERVE 
690 1 0 |a SUPRASCAPULAR NERVE 
690 1 0 |a TIME TO TREATMENT 
690 1 0 |a TREATMENT OUTCOME 
690 1 0 |a TRICEPS BRACHII MUSCLE 
690 1 0 |a ACCESSORY NERVE 
690 1 0 |a ADOLESCENT 
690 1 0 |a ADULT 
690 1 0 |a BODY MASS INDEX 
690 1 0 |a BRACHIAL PLEXUS NEUROPATHIES 
690 1 0 |a HUMANS 
690 1 0 |a MALE 
690 1 0 |a MIDDLE AGED 
690 1 0 |a NERVE TRANSFER 
690 1 0 |a RECOVERY OF FUNCTION 
690 1 0 |a TREATMENT OUTCOME 
690 1 0 |a YOUNG ADULT 
700 1 |a Di Masi, G. 
700 1 |a Bonilla, G. 
700 1 |a Malessy, M. 
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