Navegar

Colección

Datos Estadísticas

Artículo

Estamos trabajando para incorporar este artículo al repositorio
Consulte el artículo en la página del editor
Consulte la política de Acceso Abierto del editor

Abstract:

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.

Registro:

Documento: Artículo
Título:Spinal to accessory nerve transfer in traumatic brachial plexus palsy: Is body mass index a predictor of outcome?
Autor:Socolovsky, M.; Di Masi, G.; Bonilla, G.; Malessy, M.
Filiación: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
Nerve Centre, Department of Neurosurgery, Leiden University Centre, Leiden, Netherlands
Palabras clave:Body mass index; Brachial plexus injury; Nerve transfer; Surgical results; abduction; accessory nerve; adolescent; adult; article; avulsion injury; body mass; brachial plexus injury; clinical article; follow up; human; male; middle aged; muscle strength; nerve root; nerve transplantation; paralysis; postoperative period; predictor variable; priority journal; range of motion; retrospective study; shoulder girdle; spinal nerve; suprascapular nerve; time to treatment; treatment outcome; triceps brachii muscle; Accessory Nerve; Adolescent; Adult; Body Mass Index; Brachial Plexus Neuropathies; Humans; Male; Middle Aged; Nerve Transfer; Recovery of Function; Treatment Outcome; Young Adult
Año:2014
Volumen:156
Número:1
Página de inicio:159
Página de fin:163
DOI: http://dx.doi.org/10.1007/s00701-013-1896-5
Título revista:Acta Neurochirurgica
Título revista abreviado:Acta Neurochir.
ISSN:00016268
CODEN:ACNUA
Registro:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00016268_v156_n1_p159_Socolovsky

Referencias:

  • 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
  • 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
  • (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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • Midha, R., Nerve transfers for severe brachial plexus injuries: A review (2004) Neurosurg Focus, 15, p. 5
  • 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
  • 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
  • (2011) World Population Prospects: The 2010 Revision, , United Nations Department of Economic and Social Affairs Population Division CD-ROM Edition, UN New York
  • (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

Citas:

---------- APA ----------
Socolovsky, M., Di Masi, G., Bonilla, G. & Malessy, M. (2014) . Spinal to accessory nerve transfer in traumatic brachial plexus palsy: Is body mass index a predictor of outcome?. Acta Neurochirurgica, 156(1), 159-163.
http://dx.doi.org/10.1007/s00701-013-1896-5
---------- CHICAGO ----------
Socolovsky, M., Di Masi, G., Bonilla, G., Malessy, M. "Spinal to accessory nerve transfer in traumatic brachial plexus palsy: Is body mass index a predictor of outcome?" . Acta Neurochirurgica 156, no. 1 (2014) : 159-163.
http://dx.doi.org/10.1007/s00701-013-1896-5
---------- MLA ----------
Socolovsky, M., Di Masi, G., Bonilla, G., Malessy, M. "Spinal to accessory nerve transfer in traumatic brachial plexus palsy: Is body mass index a predictor of outcome?" . Acta Neurochirurgica, vol. 156, no. 1, 2014, pp. 159-163.
http://dx.doi.org/10.1007/s00701-013-1896-5
---------- VANCOUVER ----------
Socolovsky, M., Di Masi, G., Bonilla, G., Malessy, M. Spinal to accessory nerve transfer in traumatic brachial plexus palsy: Is body mass index a predictor of outcome?. Acta Neurochir. 2014;156(1):159-163.
http://dx.doi.org/10.1007/s00701-013-1896-5