Spinal cord functions renewing after it’s traumatic injury forming neural anastomosis

Abstract

Bypass surgery in spinal collaterals forming is an important alternative to other surgical and conservative methods of treatment, directed on conductivity renewing in damaged locus of spinal cord.Treatment results of 21 patients with consequences of spinal trauma were analyzed. 10 patients with cervical trauma underwent neurotization of median nerve using musculocutaneous nerve fascicules, 6 patients with lumbar segments trauma underwent neurotization of femoral nerve using n. obturatorius at the same side, 5 injured persons with lower thoracic segments trauma underwent reimplantation of lumbar intumescence nerve radices into proximal stump of spinal cord. Treatment results were estimated using clinical and electrophysiological data.All patients after median nerve neurotization using fascicules of musculocutaneous nerve showed fingers flexion ability renewing, in 9 of 10 patients muscle increased up to 3–4 points. In all patients after femoral nerve neurotization using n. obturatorius at the same side strength of m. quadriceps femoris increased up to 3–4 points. After reimplantation of lumbar intumescence nerve radices into proximal stump of spinal cord 3 patients showed partial bladder control, in 2 — movements in both lower extremities have appeared, hip extension strength increased up to 2 points.Thus, bypass surgery in spinal collaterals forming is an effective method for spinal cord functions renewing after it’s traumatic injury.