Microsurgical reconstruction of the cauda equina after traumatic transecting injury

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art_TEDESCO-MARCHESE_Microsurgical_reconstruction_of_the_cauda_equina_after_traumatic_2014.PDF (256.15 KB)
Citações na Scopus
2
Tipo de produção
article
Data de publicação
2014
Editora
SPRINGER WIEN
DOI
Indexadores
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Autores
ARAUJO JR., Antonio Santos de
FAZZITO, Mirella Martins
Autor de Grupo de pesquisa
Editores
Coordenadores
Organizadores
Citação
ACTA NEUROCHIRURGICA, v.156, n.7, p.1341-1344, 2014
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
The microsurgical reconstruction of the cauda equina nerve roots (MRCER) after traumatic injury is a highly controversial procedure with very few reports in the literature. We report on four patients who had a penetrating traumatic injury in the lumbosacral area and underwent primary MRCER at our institution during the last decade. All four patients presented complete distal sensory and motor palsy affecting the lower lumbosacral roots. Primary microsuture was feasible in three patients harboring stab wounds, whereas autologous nerve graft interposition was necessary in the patient who had a gunshot wound. At the 5-year follow-up, we observed a marked improvement in motor function in two patients, but no sensory recovery.
Palavras-chave
Lumbar spine trauma, Cauda equina lesion, Nerve regeneration, Microsurgery
URI
https://observatorio.fm.usp.br/handle/OPI/7555
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MNE
Artigos e Materiais de Revistas Científicas - HC/ICESP
Artigos e Materiais de Revistas Científicas - HC/IPq
Artigos e Materiais de Revistas Científicas - LIM/26