Total Paralysis
 
Suhas Dagdu Saptiskar
 
 

Background Avulsion of C6C7C8T1 roots and rupture of C5 root in the neck

Treatment

Transfer of Spinal accessory to the suprascapular for the shoulder abduction, intercostals to the musculocutaneous for the biceps to get motion of the elbow and C5 to the lateral cord for the pectoralis major.

 

  Click here to see the Pre-operative video
 
  Arti Anil Khare
   
  Background

Four year girl, fell off a tractor and suffered avulsion of all five roots of the left brachial plexus.

Treatment

Transfer of spinal accessory to the suprascapular for the shoulder abduction and external rotation, intercostal nerves to the musculocutaneous for the biceps to get motion of the elbow, and right C7 to the median nerve for the left hand function.

  Click here to see the video
   
  N. Abhishekh
   
 

Background

Abhishek is a 22 years old software professional. A motor cycle accident led to avulsion of all five roots.

Treatment

Three nerve transfers were done: Spinal accessory to suprascapular for getting shoulder abduction, intercostal nerves to the musculocutaneous for the biceps to get motion of the elbow and right C7 to the lateral cord for the pectoralis major to get the shrugging motion of the shoulder.

  Click here to see the video