Role of sonography in surgical decision making for iatrogenic spinal accessory nerve injuries a paradigm shift

Alper Cesmebasi, Jay Smith, Robert J. Spinner

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

The spinal accessory nerve (SAN) is susceptible to iatrogenic injury in the posterior cervical triangle. Early diagnosis and management of suspected SAN transection injuries are crucial in the restoration of shoulder stability and function. Although neurologic examination and electrodiagnostic testing can assess SAN function, they cannot assess nerve continuity. We report the use of sonography to prospectively evaluate the SAN in 6 patients with suspected iatrogenic SAN injury. Sonography directly visualized SAN transection in 4 cases, whereas sonographic findings were reported as "probable" transection in the fifth case and was nondiagnostic in the sixth case in the setting of extensive scarring.

Original languageEnglish (US)
Pages (from-to)2305-2312
Number of pages8
JournalJournal of Ultrasound in Medicine
Volume34
Issue number12
DOIs
StatePublished - Dec 1 2015

Keywords

  • Iatrogenic injury
  • Neurosonology
  • Sonography
  • Spinal accessory nerve

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Medicine(all)
  • Radiology Nuclear Medicine and imaging

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