Nerve reimplantation to Spinal Cord??

Treatments, Rehabilitation, and Recovery
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Gayle Ozzy
Posts: 44
Joined: Sat Aug 28, 2004 6:09 pm

Nerve reimplantation to Spinal Cord??

Post by Gayle Ozzy »

Hi,
I have just read some posts regarding doctors reimplanting nerves to the spinal cord? I didn't know that this was medically possible. If it is true I can't believe it isn't be learnt and taught in the the USA and here in Aust. I had 2 of Australia's finest doctors do my nerve grafts, and in fact it was a world first op (I lost my R arm and shoulder in accident so 4 right arm nerves where grafted around the front of my neck into left BPI arm). I didn't get to those doctors till 3wks after accident but it was never mentioned that anything like that was possible and when I was able to get down to them 3ks post accidnet, I actually had to wait another week or so before they did the exploritory surgery because they like to wait at least 4 wks. ( then 1 wk later the big op - 17 hours)
The initially doctors I had suspected PBI straight away, (hornes syndrome ect) but didn't do any nerve conduction studies till almost 2wks after accident. I guess I was still in a very bad way early on and I may not have been well enough, but even once the nerve cond. study was done and they told me the results, the doctor told me there was nothing that could be done and I needed to go home and live with it.
I am so glad we got in contact with the doctors in Sydney, because they deal with these types of things every day.
I still can't really use my arm for anything, but I have got bicep back with helps with the subluxing.
If anyone has any info on nerve reattachment I would be very interested. Any results too. Do they get a big % of movement and feeling back?
Thanks and sorry this is so long.
jennyb
Posts: 1183
Joined: Fri Nov 02, 2001 5:24 pm
Injury Description, Date, extent, surgical intervention etc: January 1980 Yamaha RD200 vs 16 wheeler truck, result, 1 totally paralysed right arm. I was 21, now 54. I had no surgery, I don't regret this. Decided to totally ignore limitations (easily done aged 21) adapted very quickly to one handed life, got married, had 3 kids, worked- the effect of the injury on my life (once the pain stopped being constant) was minimal and now, aged 54, I very rarely even think of it, unless I bash it or it gets cold, then I wish I'd had it amputated :) Except for a steering knob on my car, I have no adaptations to help with life, mainly because I honestly don't think of myself as disabled and the only thing I can't do is peel potatoes, which is definitely a good thing.

Re: Nerve reimplantation to Spinal Cord??

Post by jennyb »

Hi Gayle
One of the posters at the tbpi uk site had a couple of nerves reimplanted soon after her accident. It was done at the RNOH in London by Prof Birch where research into reimplantation has been ongoing for many years. She has had recovery from those nerves. She has posted in this thread about it, she posts as T2 I think, about halfway down the thread..... http://p072.ezboard.com/fadultswithbrac ... ID=3.topic

The team at Stanmore have since published excellent results from a case where all 5 of the nerves were avulsed and reimplanted 4 weeks later. The arm recovered motor function completely within 2 years, right down to intrinsic finger movement, that to me is truly amazing. The patient was a 9 yr old boy and this paper does put forward the view that these things have more chance of suceeding with younger people. It's in PDF but well worth a read

http://www.aans.org/education/journal/n ... 16-5-7.pdf

I know a team in Rome are part of this study too and that Prof Carlstedt has been working on this for years. No doctors in the US are currently doing this, I have no idea why not.
admin
Site Admin
Posts: 19873
Joined: Mon Nov 16, 2009 9:59 pm

Re: Nerve reimplantation to Spinal Cord??

Post by admin »

your hosed! Life would be great if you weren't; unfortunately your nerve has to hook-up to something, and that "something" can only live for so long with-out nerve supply, or so they say. The good news is; it doesn't make any difference, your arm is lost, and the rest of you still works. onepaw
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