Spinal Accessory Nerve Transfer for the Repair of Suprascapular Nerve to Restore Shoulder Abduction through Dorsal-approach:A Clinical Study

To introduce the designed dorsal-approach spinal accessory nerve transfer for the repair of suprascapular nerve to restore the shoulder abduction. 11 patients with brachial plexus injury were treated through the designed dorsal-approach. The patients were followed-up to evaluate the shoulder abduction recovery, and compare the changes of trapezius muscle function. Success of the dorsal-approach procedure in our series of the 11 patients confirmed that the dorsal-approach accessory nerve transfer is a safe and reliable procedure. The postoperative effect is confirmed and the recovery is earlier than that of the conventional; moreover, the upper portion function of trapezius can be reserved and the restored shoulder abduction are closer to the normal.