Clinical electrodiagnostic evaluation for nerve transfer surgery in spinal cord injury: a new indication and clinical pearls

Michael J. Berger, Adenike A. Adewuyi, Ida K. Fox, Colin K. Franz

Research output: Contribution to journalReview articlepeer-review

Abstract

In this review, we highlight the important role of the clinical electrodiagnostic (EDX) evaluation after cervical spinal cord injury (SCI). Our discussion focuses on the need for timely, frequent, and accurate EDX evaluations in the context of nerve transfer surgery to restore critical upper limb functions, including elbow extension, hand opening, and hand closing. The EDX evaluation is crucial to define the extent of lower motor neuron lesions and determine candidacy for surgery. We also discuss the important role of the postoperative EDX evaluation in determining prognosis and supporting rehabilitation. We propose a practical framework for EDX evaluation in this clinical setting.

Original languageEnglish
Pages (from-to)847-853
Number of pages7
JournalJournal of neurophysiology
Volume128
Issue number5
DOIs
StatePublished - Oct 2022

Keywords

  • electrodiagnosis
  • electrodiagnostic testing
  • nerve transfer surgery
  • spinal cord injury

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