Oberlin transfer for C5-6 palsy after posterior cervical spine surgery.

Authors :: Miranda SP
Nguyen J
Salwi S
Zager EL
Ali ZS
Source :: Neurosurgical focus: Video [Neurosurg Focus Video] 2023 Jan 01; Vol. 8 (1), pp. V5. Date of Electronic Publication: 2023 Jan 01 (Print Publication: 2023).
Publication Year :: 2023
Abstract: Postoperative C5-6 palsies can occur in 5%-10% of cases after cervical spine surgery. In this video, the authors demonstrate operative techniques for nerve transfer to restore function for postoperative C5-6 palsy. The patient underwent C3-6 laminectomy and posterior fusion for cervical spondylotic myelopathy and developed weakness postoperatively in the C5-6 distribution bilaterally. He experienced spontaneous recovery to near full strength in the most affected muscle groups by 12 months except the left biceps (2/5), with at least antigravity shoulder abduction. He underwent left ulnar to musculocutaneous nerve fascicular transfer to improve elbow flexion and supination in the setting of good hand function. The video can be found here: https://stream.cadmore.media/r10.3171/2022.10.FOCVID22100.<br />Competing Interests: Disclosures The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this publication.The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this publication.<br /> (© 2023, The Authors.)