Multi-beam group vascularized nerve graft cauda equina injury.doc

 PAGE \* MERGEFORMAT 12 Multi-beam group vascularized nerve graft cauda equina injury Study: Pure Chi Chiang, Li-Ming Wang, Fei Chun Liang, Liang [Abstract] Objective: To study the pre-vascularized sural nerve common peroneal nerve graft for repair of multi-beam group the clinical efficacy of cauda equina injury. Methods: from March 2006 to December 2008 eight cases of hospital admissions vertebral burst fractures patients, after surgery, MR or nerve EMG testing confirmed the diagnosis of cauda equina injury incomplete injury or complete. intraoperative removal of remnants of lamina 2 segments of spinal dural incision, the first observation of cauda equina scope and extent of adhesions, microscopic detail and the cauda equina cauda equina and the arachnoid between the separation between the adhesion and avoid injury cauda equina .9 0 suture line blood vessels under the microscope of the sural nerve common peroneal nerve graft for repair of multi-beam group. the long-term clinical observation, the line detection and lower extremity nerve perineal muscle function observed. Results: The clinical mean follow-up time of 2 years and 3 months, 5 patients will be compared with the preoperative pudendal sensory recovery, urine features different than the degree of preoperative turn for the better, and gradually increase with time. old cauda equina cauda equina injury stump pain after surgery compared with preoperative symptoms were relieved after incomplete injury of the abnormal nerve firing neurons by neurolysis allergy symptom relief after surgery. After Physiological testing of quadriceps muscle nerve conduction velocity and latency were improved, 2 cases of quadriceps muscle strength increased. Conclusion: The blood vessels of the sural and common peroneal nerve anastomosis with the cauda equina can be partial reconstruction of paraplegic patients feel and function and a small amount of urine motor function, relieve pain in patients, improve patient quality o