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Updated: Apr 3, 2026

Structured Motor Rehabilitation After Selective Nerve Transfers
Published on: August 15, 2019
Nerve Transfers to Restore Upper Extremity Function in Cervical Spinal Cord Injury: Update and Preliminary Outcomes
Ida K Fox1, Kristen M Davidge, Christine B Novak
1St. Louis, Mo.; and Toronto, Ontario, Canada From the Division of Plastic and Reconstructive Surgery, Department of Surgery, the Division of Neurorehabilitation, Spinal Cord Injury Program, and the Department of Neurology, Washington University School of Medicine; the Milliken Hand Center of The Rehabilitation Institute of Saint Louis; and the Hand and Upper Extremity Program, Division of Plastic and Reconstructive Surgery, Hospital for Sick Children.
Nerve transfers offer a promising surgical option for restoring upper extremity function after cervical spinal cord injury. Early results show significant patient-reported improvements in function, highlighting their potential as a consistent treatment.
Area of Science:
- Neurosurgery
- Reconstructive Surgery
- Spinal Cord Injury Research
Background:
- Cervical spinal cord injury frequently leads to significant loss of upper extremity function.
- Nerve transfers are emerging as a key surgical strategy to restore volitional control in these patients.

