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Accessory spinal nerve injury.

T A Wright

    Clinical Orthopaedics and Related Research
    |May 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Peripheral lesions of the spinal accessory nerve often result from cancer surgery and can cause significant muscle weakness and pain. Nerve repair outcomes in these cases have been disappointing, highlighting the need for surgical caution.

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    Area of Science:

    • Neurosurgery
    • Peripheral Nerve Injury

    Background:

    • Peripheral lesions of the spinal accessory nerve can lead to significant functional deficits.
    • Common causes include malignancy, lymph node resection, and arteriovenous malformation dissection.

    Purpose of the Study:

    • To analyze the causes and consequences of spinal accessory nerve injuries.
    • To evaluate the effectiveness of nerve repair in managing these injuries.

    Main Methods:

    • Case series review of 7 patients with peripheral spinal accessory nerve lesions.
    • Literature review on the management of fresh spinal accessory nerve injuries.

    Main Results:

    • 4 lesions were due to malignancy, 2 from lymph node resection, and 1 from arteriovenous malformation surgery.

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  • Injuries caused sternomastoid and trapezius muscle weakness and potential brachial plexus pain.
  • Literature suggests exploration and resuturing for fresh injuries, but our experience with nerve repair was disappointing.

    • Conclusions:

    • Surgical interventions in the neck must prioritize avoiding the spinal accessory nerve.
    • Current nerve repair techniques show limited success in restoring function after these injuries.