Management of one hundred seventy-one operative and nonoperative obstetrical birth palsies at the Louisiana State University Health Sciences Center

Neurosurgery
Yaser BadrDavid G Kline

Abstract

The management of obstetrical brachial plexus injury, often called birth palsy, remains one of the most controversial topics in pediatric neurosurgery. Most birth palsies have acceptable spontaneous recoveries, whereas only a minority require surgical intervention. A selective approach for surgery was used in this Louisiana State University Health Sciences Center (LSUHSC) series, for which the operative rate was 9%. At LSUHSC, the patient with obstetrical brachial plexus injury is followed for 6 to 9 months before surgery, which is performed if there is no satisfactory biceps and/or shoulder function. This is a retrospective analysis of 169 patients with 171 palsies referred to LSUHSC for possible surgery. There were 76 patients with 77 birth palsies managed operatively and nonoperatively at LSUHSC between 1975 and 1991. An additional 93 patients with 94 palsies who were managed between 1992 and 2003 were included in this analysis. The results of initial and follow-up examinations using Eng's criteria for impairment ratings (IRs) were available for 151 of 171 (88%) nonoperative and operative obstetrical brachial plexus injuries managed between 1975 and 2001. Fifty-two percent of the nonoperative patients evaluated at an initial...Continue Reading

References

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Citations

Feb 20, 2014·BioMed Research International·Willem Pondaag, Martijn J A Malessy
Feb 26, 2016·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Scott L ZuckermanJohn C Wellons
Nov 30, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Mariano SocolovskyErnesto Varone
Sep 14, 2013·Journal of the Peripheral Nervous System : JPNS·Stephen W P KempGregory H Borschel
Jul 3, 2013·Developmental Medicine and Child Neurology·Andrea BialocerkowskiTamis W Pin
Jun 20, 2015·Plastic and Reconstructive Surgery·Christopher J CoroneosUNKNOWN Canadian OBPI Working Group
Apr 7, 2018·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Volkan YilmazIbrahim Gundogdu
Jun 27, 2020·The Journal of Hand Surgery, European Volume·Willem Pondaag, Martijn J A Malessy
Jan 9, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Antonio Heredia GutiérrezFernando Chico Ponce de León

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