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Delayed motor nerve transfer reconstruction for C5 and C6 Resection during tumour surgery
Sunil Parthiban, Dominic M Power
West Midlands Peripheral Nerve Injury Service, Queen Elizabeth Hospital Birmingham, Birmingham, B15 2TH, United Kingdom
Correspondence Address:
Sunil Parthiban,
Hand and Peripheral Nerve Unit, Queen Elizabeth Hospital Birmingham, Mindelsohn Way, Birmingham B15 2TH
United Kingdom
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/jmsr.jmsr_84_18
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We present a case of a delayed motor nerve reconstruction following resection of the C5 nerve root due to a recurrent aneurysmal bone cyst. Our patient, a 17-year-old male, presented with a major motor radiculopathy of C5 and revision surgery requiring resection of the C5 root. Four peripheral nerve transfers were undertaken to successfully reconstruct the functional loss at more than 14 months from the paralysis onset. Nerve transfer is usually considered only when the target muscles can be reinnervated within 9 months after lower motor neurone loss. The strategies for reducing reinnervation time and the differences in nerve transfer surgery for traumatic lesions will be discussed. Tumour surgeons should consider early involvement of a peripheral nerve surgeon when nerve must be sacrificed during tumour clearance. This allows the option of early targeted reconstruction and provides guidance to the patient on anticipated outcomes after surgery.
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