An experimental study of traction on the cervical spinal nerves

  • J Destandau
  • J P Micallef
  • P Rabischong
Original Articles

Summary

The authors present a study of experimental traction on 48 cervical spinal nerves obtained from fresh cadavers. 16 avulsions of the roots were produced, always after rupture of the dura mater. The different stages of traction and rupture are described, as well as the different specimens after rupture. Ways of protecting the spinal nerves against avulsion are discussed.

Key words

Cervical spinal nerve Radicular avulsion Biomechanics 

Etude expérimentale de traction sur les nerfs rachidiens cervicaux

Résumé

Les auteurs présentent une étude de traction expérimentale sur 48 nerfs rachidiens cervicaux prélevés sur des cadavres frais. 16 arrachements radiculaires se sont produits toujours après la rupture de la dure-mère. Les différentes étapes de la traction et de la rupture sont décrites, ainsi que les différentes pièces après la rupture. Les moyens de protection des nerfs rachidiens contre l'arrachement sont discutés.

References

  1. Adams CBT, Logue V (1971) Studies in cervical spondylotic myelopathy. I: Movement of the cervical roots, dura and cord, and their relation to the course of the extrathecal roots. Brain 94: 557–568PubMedGoogle Scholar
  2. Barnes R (1949) Traction injuries of the brachial plexus in adults. J Bone Joint Surg 31B: 10–16PubMedGoogle Scholar
  3. Bonnel F (1984) Microscopic anatomy of the adult human brachial plexus: an anatomical and histological basis for microsurgery. Microsurgery 5: 107–117PubMedGoogle Scholar
  4. Braakman R, Penning L (1976) Injuries of the cervical spine. In: Handbook of Clinical Neurology. PJ Vinken, GW Bruyn; Volume 25: Injuries of the spine and spinal cord. Part I. North-Holland Publishing Company, AmsterdamGoogle Scholar
  5. Breig A, Gouad El-Nadi A (1966) Biomechanics of the cervical spinal cord. Acta Rad 4: 602–624Google Scholar
  6. Breig A (1978) Adverse mechanical tension in the central nervous system. Almqvist and Wiksell International, StockholmGoogle Scholar
  7. Danbury R (1973) Les articulations interapophysaires, leur innervation et leur influence sur la statique vertébrale et le mouvement. Cinesiologie 47: 9–19Google Scholar
  8. Ectors L, Achslogh J, Saintes MJ (1960) Les compressions de la moelle cervicale. Lésions intrinsèques et traumatiques exclues. Masson, ParisGoogle Scholar
  9. Estein BS, Epstein JA, Jones MD (1978) Anatomico-radiological correlations in cervical spine discal disease and stenosis. Clin Neurosurg 25: 148–173Google Scholar
  10. Frykholm R (1951) Cervical epidural structures, periradicular and epineurial sheats. Acta Chir Scand 102: 10–20PubMedGoogle Scholar
  11. Frykholm R (1951) The mechanism of cervical radicular lesions. Acta Chir Scand 102: 93–98PubMedGoogle Scholar
  12. Hadley LA (1944) Roentgenographic studies of the cervical spine. Am J Roentgenol 52: 173–195Google Scholar
  13. Kline DG, Judice DJ (1983) Operative management of brachial plexus lesions. J Neurosurg 58: 631–649PubMedGoogle Scholar
  14. Mansat M (1977) Anatomie topographique chirurgicale du plexus brachial. Revue Chir Orthop 63: 20–26Google Scholar
  15. Merle d'Aubigné R, Deburge A (1967) Etiologie, évolution et pronostic des paralysies traumatiques du plexus brachial. Revue Chir Orthop 53: 23–42Google Scholar
  16. Mestdagh H (1969) Anatomie fonctionnelle du rachis cervical (de C3 à C7). Thèse 22, Lille, FranceGoogle Scholar
  17. Narakas A, (1981) Brachial plexus surgery, Orthop Clinics North Am 12: 303–323Google Scholar
  18. Oostrom J (1965) Cervical root avulsion. Arch Chir Neerl 17: 239–249PubMedGoogle Scholar
  19. Privat JM, Mailhe D, Bonnel F (1982) Hemilaminectomie cervicale exploratrice et neurotisation précoce du plexus brachial. Neurochirurgie, 28: 107–113PubMedGoogle Scholar
  20. Rabischong P, Bonnel F, Connes H, Perruchon E (1973) Résistance mécanique des nerfs. Montpellier Chir 19: 151–155Google Scholar
  21. Reid JD (1960) Effects of flexion-extension movements of the head and spine upon the spinal cord and nerve roots. J Neurol Neurosurg Psychiat 23: 214–221PubMedCrossRefGoogle Scholar
  22. Sassaroli S, Di Giulio T (1961) Betrachtungen über das meylographische Bild des sogenanntes Ausrissverletzungen des brachial Plexus. Fortschr Geb Rontgenstr Nuklearmed 94: 130–137PubMedCrossRefGoogle Scholar
  23. Smith CG (1956) Changes in length and position of the segments of the spinal cord with changes in posture in the monkey. Radiology 66: 259–265PubMedGoogle Scholar
  24. Sunderland S, Bradley KC (1961) Stress-strain phenomena in human peripheral nerve trunks. Brain 84: 102–119Google Scholar
  25. Sunderland S, Bradley KC (1961) Stress-Strain phenomena in human spinal nerve roots. Brain 84: 120–124Google Scholar
  26. Sunderland S, Bradley KC (1961) Stress-strain phenomena in denervated peripheral nerve trunks. Brain 84: 125–127Google Scholar
  27. Sunderland S (1974) Meningeal-neural relations in the intervertebral foramen. J Neurosurg 40: 756–763PubMedCrossRefGoogle Scholar
  28. Sunderland S (1974) Mechanisms of cervical nerve roots avulsion in injuries of the neck and shoulder. J Neurosurg 41: 705–714PubMedGoogle Scholar
  29. Sunderland S (1976) Avulsion of nerve roots. In: Handbook of Clinical Neurology. PJ Winken, GW Bruyn. Vol. 25: Injuries of the spine and spinal cord. Part I, North-Holland Publishing Company, AmsterdamGoogle Scholar
  30. Tarlov IM (1954) Myelography to help localize traction lesions of the brachial plexus. Am J Surg 88: 266–271PubMedCrossRefGoogle Scholar
  31. Tassin JL, Gilbert A (1984) Indications, technique et résultats de la réparation chirurgicale directe de la paralysie obstétricale du plexus brachial. Revue Ped XX: 71–80Google Scholar
  32. Taylor PE (1962) Traumatic intradural avulsion of the nerve roots of the brachial plexus. Brain 85: 579–602PubMedGoogle Scholar
  33. Testut L (1889) Traité d'Anatomie Humaine, Doin, ParisGoogle Scholar

Copyright information

© Springer-Verlag 1986

Authors and Affiliations

  • J Destandau
    • 1
  • J P Micallef
    • 2
  • P Rabischong
    • 2
  1. 1.Laboratoire d'Anatomie et d'OrganogenèseUniversité de Bordeaux II, UER IBordeaux Cedex
  2. 2.INSERM Unité 103Montpellier

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