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Brain Science Advances 2017, 3(4): 188-195 https://doi.org/10.18679/CN11-6030_R.2017.028
Original Article | Open Access | Issue | Published: 01 December 2017

Using nerve segment insert grafting to reconstruct neural pathways of brain-derived paralysis

Show Author's Information Wenbin Ding1,  Shaocheng Zhang1( ),  Zhuo Wang1,  Lin Chen2,  Chuansen Zhang3,  Ping Huang4,  Shunfa Liu5,  Laiqing Sun6,  Yuhai Ma7,  Jun Yang8,  Fei Huang9,  Chengjing Xue10,  Yanxue Zhong11,  Lei Yin12,  Yongtai Pan13,  Dajiang Wu1
Department of Orthopaedics, Changhai Hospital, the Naval Medical University, Shanghai 200433, China
Department of Neurosurgery, Yuquan Hospital, Tsinghua University, Beijing 100040, China
Department of Anatomy, the Second Military Medical University, Shanghai 200433, China
Department of Orthopaedics, Jingmen No. 2 People’s Hospital, Jingmen 448000, China
Department of Orthopaedics, Qinhuangdao Workers’ Hospital, Qinhuangdao 066200, China
Department of Orthopaedics, Tangshan No. 2 Hospital, Tangshan 063000, China
Department of Orthopaedics, Jiaxing Armed Police Force Hospital, Jiaxing 314000, China
Department of Neurosurgery, Yantai Hospital, Binzhou Medical University, Yantai 264100, China
Department of Anatomy, Binzhou Medical University, Binzhou 256600, China
Department of Neurosurgery, North China University of Science and Technology AffiliatedHospital, Tangshan 063000, China
Department of Orthopaedics, Tengzhou Central People’s Hospital, Tengzhou 277500, China
Department of Orthopaedics, Jiangsu Armed Police General Hospital, Yangzhou 225003, China
Department of Orthopaedics, the 180th Hospital of PLA, Quanzhou 362008, China
Keywords:
functional reconstruction, cerebral trauma, child cerebral pals, graft surgery, hemiplegic paralysis, nerve segment transplantation, spastic paralysis stroke
Cite this article:
Ding W, Zhang S, Wang Z, et al. Using nerve segment insert grafting to reconstruct neural pathways of brain-derived paralysis. Brain Science Advances, 2017, 3(4): 188-195. https://doi.org/10.18679/CN11-6030_R.2017.028
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Abstract Full text About this article

Since 1992, task groups have used free nerve auto grafts to bridge partially transected nerves from the dominant area of the normal cerebral cortex to nerves that innervate spastic muscles from a diseased cerebral cortex, using transplanting sutures to alleviate the muscle spasm of cerebral palsy caused by different diseases. This has facilitated rebuilding of some of its neurological function. In this study, 80 such patients were followed up, including 20 patients with traumatic brain injury, 32 patients with stroke, and 28 pediatric patients with cerebral palsy. After postoperative follow-up of 3 to 21 years, the efficacy rate of this operation was 100% and the excellent and good spasm relief rate was 82.5%.


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Abstract
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About this article

Using nerve segment insert grafting to reconstruct neural pathways of brain-derived paralysis

Show Author's information Wenbin Ding1, Shaocheng Zhang1( ), Zhuo Wang1, Lin Chen2, Chuansen Zhang3, Ping Huang4, Shunfa Liu5, Laiqing Sun6, Yuhai Ma7, Jun Yang8, Fei Huang9, Chengjing Xue10, Yanxue Zhong11, Lei Yin12, Yongtai Pan13, Dajiang Wu1
Department of Orthopaedics, Changhai Hospital, the Naval Medical University, Shanghai 200433, China
Department of Neurosurgery, Yuquan Hospital, Tsinghua University, Beijing 100040, China
Department of Anatomy, the Second Military Medical University, Shanghai 200433, China
Department of Orthopaedics, Jingmen No. 2 People’s Hospital, Jingmen 448000, China
Department of Orthopaedics, Qinhuangdao Workers’ Hospital, Qinhuangdao 066200, China
Department of Orthopaedics, Tangshan No. 2 Hospital, Tangshan 063000, China
Department of Orthopaedics, Jiaxing Armed Police Force Hospital, Jiaxing 314000, China
Department of Neurosurgery, Yantai Hospital, Binzhou Medical University, Yantai 264100, China
Department of Anatomy, Binzhou Medical University, Binzhou 256600, China
Department of Neurosurgery, North China University of Science and Technology AffiliatedHospital, Tangshan 063000, China
Department of Orthopaedics, Tengzhou Central People’s Hospital, Tengzhou 277500, China
Department of Orthopaedics, Jiangsu Armed Police General Hospital, Yangzhou 225003, China
Department of Orthopaedics, the 180th Hospital of PLA, Quanzhou 362008, China

Abstract

Since 1992, task groups have used free nerve auto grafts to bridge partially transected nerves from the dominant area of the normal cerebral cortex to nerves that innervate spastic muscles from a diseased cerebral cortex, using transplanting sutures to alleviate the muscle spasm of cerebral palsy caused by different diseases. This has facilitated rebuilding of some of its neurological function. In this study, 80 such patients were followed up, including 20 patients with traumatic brain injury, 32 patients with stroke, and 28 pediatric patients with cerebral palsy. After postoperative follow-up of 3 to 21 years, the efficacy rate of this operation was 100% and the excellent and good spasm relief rate was 82.5%.

Keywords: functional reconstruction, cerebral trauma, child cerebral pals, graft surgery, hemiplegic paralysis, nerve segment transplantation, spastic paralysis stroke

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Publication history

Received: 08 October 2016
Revised: 03 July 2017
Accepted: 13 September 2017
Published: 01 December 2017
Issue date: December 2017

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© The authors 2017.

Acknowledgements

This study was supported by the Shanghai Science and Technology Project (No. 10411953800).

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This article is published with open access at www.TNCjournal.com

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