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The clinical practice of reconstructive neurosurgery
Justin M Brown1, Nicholas Vivio, Geoffrey L Sheean
1Division of Neurosurgery, Center for Neurophysiology and Restorative Neurology, University of California at San Diego School of Medicine, USA. jmbrown@ucsd.edu
Clinical Neurology and Neurosurgery
|March 17, 2012
Summary
Surgical interventions can now improve function after nervous system injuries. Neurophysiological assessment is key for planning these surgeries to enhance limb function and quality of life.
Area of Science:
- Neurosurgery
- Rehabilitation Medicine
- Neuroscience
Background:
- Surgical techniques for nervous system injuries have evolved since the early 1900s.
- Recent advancements allow a unified approach for brain, spinal cord, and peripheral nerve injuries.
- Peripheral nerve and muscle surgery offers functional improvement for limb impairments.
Purpose of the Study:
- To outline the current state of surgical interventions for nervous system injuries.
- To emphasize the importance of neurophysiological assessment in surgical planning.
- To highlight the potential of surgical manipulation for functional enhancement.
Main Methods:
- Review of historical and recent developments in surgical interventions for nervous system injuries.
- Discussion of neurophysiological assessment techniques for evaluating injury and motor control.
- Analysis of surgical manipulation of peripheral nerves and muscles for limb impairments.
Main Results:
- Surgical interventions have become a coherent approach for various nervous system injuries.
- Neurophysiological assessment is crucial for effective surgical planning.
- These interventions can significantly enhance function and quality of life.
Conclusions:
- Surgical interventions, guided by neurophysiological assessment, offer significant functional recovery for individuals with nervous system injuries.
- This approach can improve the quality of life for patients with limited activity due to neurological damage.
- The integration of surgical manipulation with other therapies provides a comprehensive strategy for rehabilitation.
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