Research progress of contralateral C<sub>7</sub> nerve root transfer via prevertebral pathway_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

CHEN Tao , GAO Shaoying ,  WEI Zairong

Department of Burn and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi Guizhou, 563003, P.R.China;

Corresponding?author：

WEI Zairong, Email: zairongwei@163.com

Keywords：

Prevertebral pathway; contralateral C₇ nerve transfer; brachial plexus injury; brain remodeling

DOI：

10.7507/1002-1892.202006088

Video：

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Objective To review the research progress on the establishment of prevertebral pathway in the treatment of unilateral total brachial plexus injury, cerebral palsy, stroke, and traumatic brain injury by contralateral C₇ nerve root transfer.Methods The literature about contralateral C₇ nerve root transfer via prevertebral pathway at home and abroad was extensively reviewed, and the development, changes, advantages and disadvantages of various operation methods were analyzed and summarized.Results After unilateral total brachial plexus injury, cerebral palsy, stroke, and traumatic brain injury, it can be repaired by a variety of surgical methods of the contralateral C₇ nerve root transfer via prevertebral pathway, which include the anterior subcutaneous tissue tunnel of the vertebral body, the passage under the sternocleidomastoid muscle, the posterior pharyngeal space and the anterior vertebral fascia passage, the modified posterior esophageal anterior vertebral passage, the anterior vertebral passage that cuts off the bilateral anterior scalene, and Huashan anterior pathway, etc. Among them, how to establish the shortest, safe, and effective way of anterior vertebral canal has been paid more attention and discussed by peripheral nerve repair doctors.Conclusion It is a safe and effective surgical method to repair unilateral total brachial plexus injury, cerebral palsy, stroke, and traumatic brain injury patients with contralateral C₇ nerve root transfer via prevertebral pathway.

Citation： CHEN Tao, GAO Shaoying, WEI Zairong. Research progress of contralateral C₇ nerve root transfer via prevertebral pathway. Chinese Journal of Reparative and Reconstructive Surgery, 2021, 35(2): 265-268. doi: 10.7507/1002-1892.202006088 Copy

1.	顧玉東. 臂叢神經損傷與疾病的診治. 2 版. 上海: 復旦大學出版社, 2001: 3.
2.	Hoppenfeld JD, Hoppenfeld S, Hutton R. 骨科神經病學-神經定位診斷指南. 2 版. 李萬里, 陳其昕, 陳維善, 譯. 北京: 北京科學技術出版社, 2019: 32-33.
3.	Titolo P, Lavorato A, Isoardo G, et al. Transfer of the peroneal component of the sciatic nerve in total brachial plexus lesion: An anatomical feasibility study. Injury, 2020. doi: 10.1016/j.injury.2020.03.015.
4.	高東, 夏晴. 肢體周圍神經損傷法醫學鑒定和檢驗. 上海: 上海科學技術出版社, 2020: 74-75.
5.	張英澤. 歐洲骨科和創傷. 第 2 卷. 北京: 中華醫學電子音像出版社, 2019: 447.
6.	周俊明, 勞杰, 徐文東, 等. 上肢手功能康復學. 上海: 世界圖書出版公司, 2019: 321.
7.	徐林. 腦性癱瘓現代外科治療與康復. 北京: 人民衛生出版社, 2018: 3.
8.	顧玉東, 王澍寰, 侍德. 現代手外科手術學. 上海: 復旦大學出版社, 2018: 857.
9.	焦力群, 楊斌, 蔡藝靈. 頭頸部動脈血運重建-圖解腦卒中預防與治療. 北京: 北京大學醫學出版社, 2020: 63-66.
10.	王隴德, 劉建民, 楊弋, 等. 我國腦卒中防治仍面臨巨大挑戰——《中國腦卒中防治報告2018》概要. 中國循環雜志, 2019, 34(2): 105-119.
11.	王隴德. 中國腦卒中防治工程的現狀與未來. 第二軍醫大學學報, 2018, 39(9): 941-943.
12.	張寧, 楊華堂. 青年人高血壓腦出血的臨床特點及治療. 中國臨床神經外科雜志, 2015, 20(2): 103-104.
13.	侯春林, 曹誼林, 徐永清. 中國修復重建外科歷史回顧. 中國修復重建外科雜志, 2018, 32(7): 777-780.
14.	Li S, Cao Y, Zhang Y, et al. Contralateral C₇ transfer via both ulnar nerve and medial antebrachial cutaneous nerve to repair total brachial plexus avulsion: a preliminary report. Br J Neurosurg, 2019, 33(6): 648-654.
15.	Liu YZ, Yang X, Gao KM, et al. Outcome of contralateral C₇ transfers to different recipient nerves after global brachial plexus avulsion. Brain Behav, 2018, 8(12): e01174.
16.	Monsivais JJ. Contralateral C₇ transfers: An innovative approach to improving peripheral neuropathic pain after traumatic brachial plexus injury with C₅ rupture and avulsion of C₆, C₇, C₈ and T₁. A case series study. Clin Neurol Neurosurg, 2020, 191: 105693.
17.	買買艾力·玉山, 任鵬, 亞穆罕默德·阿力克, 等. 新疆地區健側 C₇移位術治療全臂叢根性撕脫傷遠期療效觀察. 中華顯微外科雜志, 2019, 42(6): 540-543.
18.	Feng J, Wang T, Luo P. Contralateral C₇ transfer to lower trunk via a subcutaneous tunnel across the anterior surface of the chest and neck for total brachial plexus root avulsion: a cadaveric study. J Orthop Surg Res, 2019, 14(1): 27.
19.	彭峰, 蔡佩琴, 陳德松, 等. 健側 C₇神經移位修復臂叢神經根干部損傷的改良術式. 中華手外科雜志, 2003, 19(2): 66-68.
20.	Mcguiness CN, Kay SP. The prespinal route in contralateral C₇ nerve root transfer for brachial plexus avulsion injuries. J Hand Surg (Br), 2002, 27(2): 159-160.
21.	王樹鋒, 胡琪, 王海華, 等. 健側 C₇神經根移位經椎體前通路的應用解剖及臨床研究. 中華手外科雜志, 2003, 19(2): 69-71.
22.	王樹鋒, 王海華, 蘇彥農, 等. 健側 C₇神經根經椎體前通路移位修復臂叢神經損傷療效的初步觀察. 中華骨科雜志, 2004, 24(8): 453-456.
23.	Wang SF, Li PC, Xue YH, et al. Contralateral C₇ nerve transfer with direct coaptation to restore lower trunk function after traumatic brachial plexus avulsion. J Bone Joint Surg (Am), 2013, 95(9): 821-827.
24.	楊勇, 王樹鋒, 栗鵬程, 等. 健側頸 7 神經根經改良椎體前通路移位修復臂叢神經根性損傷. 中華手外科雜志, 2017, 33(1): 32-35.
25.	徐雷, 顧玉東, 徐建光, 等. 經椎體前路移位健側頸 7 神經根修復臂叢上中干根性撕脫傷. 中華手外科雜志, 2007, 23(6): 345-348.
26.	Xu L, Gu Y, Xu J, et al. Contralateral C₇ transfer via the prespinal and retropharyngeal route to repair brachial plexus root avulsion: a preliminary report. Neurosurgery, 2008, 63(3): 553-558.
27.	Zheng MX, Hua XY, Feng JT, et al. Trial of contralateral seventh cervical nerve transfer for spastic arm paralysis. N Engl J Med, 2018, 378(1): 22-34.
28.	Ye X, Shen YD, Feng JT, et al. A novel mouse model of contralateral C₇ transfer via the pretracheal route: A feasibility study. J Neurosci Methods, 2019, 328: 108445.
29.	Li P, Shen Y, Xu J, et al. Contralateral cervical seventh nerve transfer for spastic arm paralysis via a modified prespinal route: a cadaveric study. Acta Neurochir (Wien), 2020, 162(1): 141-146.
30.	Baltzer HL, Kircher MF, Spinner RJ, et al. A Comparison of outcomes of triceps motor branch-to-axillary nerve transfer or sural nerve interpositional grafting for isolated axillary nerve injury. Plast Reconstr Surg, 2016, 138(2): 256e-264e.
31.	Yu BF, Chen LW, Qiu YQ, et al. Contralateral seventh cervical nerve transfer can affect the pennation angle of the lower limb in spastic hemiplegia patients: An observational case series study. Brain Behav, 2019, 9(12): e01460.

1. 顧玉東. 臂叢神經損傷與疾病的診治. 2 版. 上海: 復旦大學出版社, 2001: 3.
2. Hoppenfeld JD, Hoppenfeld S, Hutton R. 骨科神經病學-神經定位診斷指南. 2 版. 李萬里, 陳其昕, 陳維善, 譯. 北京: 北京科學技術出版社, 2019: 32-33.
3. Titolo P, Lavorato A, Isoardo G, et al. Transfer of the peroneal component of the sciatic nerve in total brachial plexus lesion: An anatomical feasibility study. Injury, 2020. doi: 10.1016/j.injury.2020.03.015.
4. 高東, 夏晴. 肢體周圍神經損傷法醫學鑒定和檢驗. 上海: 上海科學技術出版社, 2020: 74-75.
5. 張英澤. 歐洲骨科和創傷. 第 2 卷. 北京: 中華醫學電子音像出版社, 2019: 447.
6. 周俊明, 勞杰, 徐文東, 等. 上肢手功能康復學. 上海: 世界圖書出版公司, 2019: 321.
7. 徐林. 腦性癱瘓現代外科治療與康復. 北京: 人民衛生出版社, 2018: 3.
8. 顧玉東, 王澍寰, 侍德. 現代手外科手術學. 上海: 復旦大學出版社, 2018: 857.
9. 焦力群, 楊斌, 蔡藝靈. 頭頸部動脈血運重建-圖解腦卒中預防與治療. 北京: 北京大學醫學出版社, 2020: 63-66.
10. 王隴德, 劉建民, 楊弋, 等. 我國腦卒中防治仍面臨巨大挑戰——《中國腦卒中防治報告2018》概要. 中國循環雜志, 2019, 34(2): 105-119.
11. 王隴德. 中國腦卒中防治工程的現狀與未來. 第二軍醫大學學報, 2018, 39(9): 941-943.
12. 張寧, 楊華堂. 青年人高血壓腦出血的臨床特點及治療. 中國臨床神經外科雜志, 2015, 20(2): 103-104.
13. 侯春林, 曹誼林, 徐永清. 中國修復重建外科歷史回顧. 中國修復重建外科雜志, 2018, 32(7): 777-780.
14. Li S, Cao Y, Zhang Y, et al. Contralateral C₇ transfer via both ulnar nerve and medial antebrachial cutaneous nerve to repair total brachial plexus avulsion: a preliminary report. Br J Neurosurg, 2019, 33(6): 648-654.
15. Liu YZ, Yang X, Gao KM, et al. Outcome of contralateral C₇ transfers to different recipient nerves after global brachial plexus avulsion. Brain Behav, 2018, 8(12): e01174.
16. Monsivais JJ. Contralateral C₇ transfers: An innovative approach to improving peripheral neuropathic pain after traumatic brachial plexus injury with C₅ rupture and avulsion of C₆, C₇, C₈ and T₁. A case series study. Clin Neurol Neurosurg, 2020, 191: 105693.
17. 買買艾力·玉山, 任鵬, 亞穆罕默德·阿力克, 等. 新疆地區健側 C₇移位術治療全臂叢根性撕脫傷遠期療效觀察. 中華顯微外科雜志, 2019, 42(6): 540-543.
18. Feng J, Wang T, Luo P. Contralateral C₇ transfer to lower trunk via a subcutaneous tunnel across the anterior surface of the chest and neck for total brachial plexus root avulsion: a cadaveric study. J Orthop Surg Res, 2019, 14(1): 27.
19. 彭峰, 蔡佩琴, 陳德松, 等. 健側 C₇神經移位修復臂叢神經根干部損傷的改良術式. 中華手外科雜志, 2003, 19(2): 66-68.
20. Mcguiness CN, Kay SP. The prespinal route in contralateral C₇ nerve root transfer for brachial plexus avulsion injuries. J Hand Surg (Br), 2002, 27(2): 159-160.
21. 王樹鋒, 胡琪, 王海華, 等. 健側 C₇神經根移位經椎體前通路的應用解剖及臨床研究. 中華手外科雜志, 2003, 19(2): 69-71.
22. 王樹鋒, 王海華, 蘇彥農, 等. 健側 C₇神經根經椎體前通路移位修復臂叢神經損傷療效的初步觀察. 中華骨科雜志, 2004, 24(8): 453-456.
23. Wang SF, Li PC, Xue YH, et al. Contralateral C₇ nerve transfer with direct coaptation to restore lower trunk function after traumatic brachial plexus avulsion. J Bone Joint Surg (Am), 2013, 95(9): 821-827.
24. 楊勇, 王樹鋒, 栗鵬程, 等. 健側頸 7 神經根經改良椎體前通路移位修復臂叢神經根性損傷. 中華手外科雜志, 2017, 33(1): 32-35.
25. 徐雷, 顧玉東, 徐建光, 等. 經椎體前路移位健側頸 7 神經根修復臂叢上中干根性撕脫傷. 中華手外科雜志, 2007, 23(6): 345-348.
26. Xu L, Gu Y, Xu J, et al. Contralateral C₇ transfer via the prespinal and retropharyngeal route to repair brachial plexus root avulsion: a preliminary report. Neurosurgery, 2008, 63(3): 553-558.
27. Zheng MX, Hua XY, Feng JT, et al. Trial of contralateral seventh cervical nerve transfer for spastic arm paralysis. N Engl J Med, 2018, 378(1): 22-34.
28. Ye X, Shen YD, Feng JT, et al. A novel mouse model of contralateral C₇ transfer via the pretracheal route: A feasibility study. J Neurosci Methods, 2019, 328: 108445.
29. Li P, Shen Y, Xu J, et al. Contralateral cervical seventh nerve transfer for spastic arm paralysis via a modified prespinal route: a cadaveric study. Acta Neurochir (Wien), 2020, 162(1): 141-146.
30. Baltzer HL, Kircher MF, Spinner RJ, et al. A Comparison of outcomes of triceps motor branch-to-axillary nerve transfer or sural nerve interpositional grafting for isolated axillary nerve injury. Plast Reconstr Surg, 2016, 138(2): 256e-264e.
31. Yu BF, Chen LW, Qiu YQ, et al. Contralateral seventh cervical nerve transfer can affect the pennation angle of the lower limb in spastic hemiplegia patients: An observational case series study. Brain Behav, 2019, 9(12): e01460.

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Research progress of contralateral C₇ nerve root transfer via prevertebral pathway

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Research progress of contralateral C₇ nerve root transfer via prevertebral pathway