Spinal Cord Series and Cases最新文献

{"title":"Recovery of appetite after using a direct weight-bearing exoskeleton for walking: a case report.","authors":"Rafael Francisco Vieira de Melo, Daniela Mitiyo Odagiri Utiyama, Cristiane Gonçalves da Mota, Marina Fernandes Ribeiro, Priscila Fabiano Carvalho, Erica de Castro Leite, Flávio Cichon, André Tadeu Sugawara, Linamara Rizzo Battistella","doi":"10.1038/s41394-025-00700-6","DOIUrl":"10.1038/s41394-025-00700-6","url":null,"abstract":"<p><strong>Introduction: </strong>Loss of appetite is a neglected condition in individuals with spinal cord injury, often assessed as an emotional issue, without considering the autonomic dysfunctions that decrease gastric afferents, altering hunger perception, to the same extent as it causes autonomic dysreflexia, neurogenic bladder, and neurogenic bowel related to the interruption of information flow between effector organs and the brain. The objective of the report the side effect of appetite from the robotic exoskeleton for lower limbs with direct ground weight unloading.</p><p><strong>Case presentation: </strong>A 30-year-old man with a complete SCI (T8, AIS A) and no appetite perception since the injury experienced an unexpected recovery of appetite during exoskeleton-assisted walking therapy. Appetite improvement occurred after two sessions and coincided with the onset of walking in the exoskeleton.</p><p><strong>Discussion: </strong>The recovery of appetite during exoskeleton-assisted walking could be linked to autonomic and visceral afferent improvements. However, this observation is exploratory, and other factors, such as mood enhancement from experiencing walking, may have contributed. Further studies are needed to investigate these mechanisms.</p>","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"11 1","pages":"5"},"PeriodicalIF":0.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11903851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of obesity in spinal cord injury with tirzepatide: a case report.","authors":"Michael Juszczak, Kazuko Shem","doi":"10.1038/s41394-025-00699-w","DOIUrl":"10.1038/s41394-025-00699-w","url":null,"abstract":"<p><strong>Introduction: </strong>Individuals with spinal cord injury (SCI) experience alterations in metabolism that result in increased central obesity, insulin resistance, and dyslipidemia placing them at elevated risk for developing cardiometabolic disease (CMD). Increased exercise and dietary modifications are the primary interventions for preventing CMD. However, people with SCI face unique challenges that prevent them from increasing their physical activity and easily modifying their nutritional intake. Tirzepatide is a medication that has been approved by the Food and Drug Administration to be used in conjunction with lifestyle changes to treat obesity in adults with type 2 diabetes mellitus.</p><p><strong>Case presentation: </strong>A male in his 40's with C6 American Spinal Injury Association Impairment Scale B SCI 15 years prior with a body mass index of 32 presented to his primary care provider for treatment of obesity. He previously worked with multiple dietitians and increased his physical activity to lose weight. Despite these interventions, he was unable to reduce his weight. He was started on tirzepatide. After 3 months of treatment, he lost 31 pounds and saw improvements in his lipid profile. The only adverse effect reported was heartburn.</p><p><strong>Discussion: </strong>The metabolic dysfunction associated with SCI and barriers to adequate exercise for weight loss place individuals with SCI at increased risk for obesity and developing CMD. Tirzepatide may be an effective adjunct therapy to lifestyle interventions to help prevent CMD in those with SCI. Further research is indicated to examine the long-term efficacy, benefits, and adverse effects that may be associated with tirzepatide.</p>","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"11 1","pages":"4"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A preliminary study on the changes of fecal short chain fatty acids in patients with traumatic spinal cord injury in the chronic phase.","authors":"Dejian Zhang, Run Peng, Degang Yang","doi":"10.1038/s41394-025-00698-x","DOIUrl":"10.1038/s41394-025-00698-x","url":null,"abstract":"<p><strong>Study design: </strong>Cross-sectional explorative observational study.</p><p><strong>Setting: </strong>The China Rehabilitation Research Center is one of the centers for spinal cord injury in China, and this study investigates the Chinese part of spinal cord injury.</p><p><strong>Objective: </strong>To observe the changes of fecal short-chain fatty acids (SCFA) in patients with traumatic spinal cord injury (TSCI) compared with normal controls.</p><p><strong>Methods: </strong>Thirty-eight patients with TSCI who were hospitalized in Beijing Boai Hospital of China Rehabilitation Research Center from April, 2017 to October, 2018 were recruited. Basic data such as age, gender, neurological level, etiology, and defecation method were recorded, and neurogenic bowel dysfunction score (NBD) was assessed. Twenty-one healthy subjects from the staffs of Beijing Bo'ai Hospital were recruited as the control group. Fresh stool samples were collected and gas chromatography-mass spectrometry (GC-MS) was used to determine the contents of caproic acid, isovaleric acid, isobutyric acid, valeric acid, butyric acid, propionic acid and acetic acid in feces of TSCI patients and controls. The Mann-Whitney U test was used to compare SCFA levels between the two groups.</p><p><strong>Results: </strong>Compared with healthy controls, the levels of isovaleric acid and isobutyric acid in the feces of TSCI patients increased, while the levels of butyric acid and acetic acid decreased, and the differences were statistically significant (P < 0.05).</p><p><strong>Conclusion: </strong>The fecal content of propionic acid and butyric acid decreased while that of isobutyric acid and isoamyl acid increased in patients with chronic TSCI.</p>","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"11 1","pages":"3"},"PeriodicalIF":0.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11861907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural adaptation and validation of the \"impact on participation and autonomy\" (IPA) questionnaire in Indian population with spinal cord injury.","authors":"Reeta Kumari, Renu Joshi, Priyanka Vijay","doi":"10.1038/s41394-025-00697-y","DOIUrl":"10.1038/s41394-025-00697-y","url":null,"abstract":"<p><strong>Study design: </strong>An observational study design.</p><p><strong>Objective: </strong>To translate the Impact on Participation and Autonomy Questionnaire (IPAQ) into the Hindi language and to assess the test-retest reliability of the supplemental data in the Indian spinal cord injury (SCI) population.</p><p><strong>Setting: </strong>Delhi.</p><p><strong>Methods: </strong>The English version of the IPAQ was translated into the Hindi language following the standardized Beaton guidelines for cross-cultural adaptation of self-reports. Reliability and validity were assessed in 80 subjects with SCI. Content validity was estimated using quantitative and qualitative methods. Internal consistency reliability was assessed in 20 participants. For test-retest reliability, 30 participants completed the IPAQ-H twice, one week apart. Subjects (N = 80) who met the inclusion criteria were included in the study after obtaining their informed consent.</p><p><strong>Results: </strong>The IPAQ was translated into the Hindi language using the six-step Beaton guidelines, which were approved by the translators, expert panel members, subjects with SCI, and developers of the original English version of the IPAQ. Content validity estimation showed that all the items in the questionnaire were retained. The IPAQ-H has excellent internal consistency reliability (Cronbach's alpha -0.942) and excellent test-retest reliability (ICC single measure-0.568 and mean measure-0.929.</p><p><strong>Conclusion: </strong>The supplemental data is a methodological step in translating the IPAQ into Hindi for a Hindi-literate population with high test-retest reliability. Healthcare practitioners can use the supplemental data as a valuable tool to gain clinical insights into the efficacy of IPA in the Indian Hindi-speaking population with SCI.</p>","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"11 1","pages":"2"},"PeriodicalIF":0.7,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combined nerve and tendon transfer strategy for the restoration of grasp in tetraplegia; a case report.","authors":"Lina Bunketorp Käll, Johanna Wangdell, Carina Reinholdt, Jan Fridén","doi":"10.1038/s41394-024-00695-6","DOIUrl":"https://doi.org/10.1038/s41394-024-00695-6","url":null,"abstract":"<p><strong>Introduction: </strong>By combining nerve and tendon transfer procedures, a more versatile hand function can be expected. Here we report the long-term outcomes of novel, individualized reconstruction strategies using combined nerve and tendon transfer procedures (CNaTT) to restore prehension and grasp in two patients with tetraplegia.</p><p><strong>Case presentation: </strong>Two women, 45 years of age, underwent bilateral nerve transfer according to the Bertelli S-PIN (supinator to posterior interosseous nerve transfer) procedure. The grip reconstruction included tendon transfers using brachioradialis to flexor pollicis longus and extensor carpi radialis longus to flexor digitorum profundus, as well as balancing tenodesis, arthrodesis procedures and intrinsic reconstruction. At 6 months, the patients' pinch and grasp strength ranged between 1.0-2.0 and 2.2-5.0 kg, respectively, concomitant with improvements in activity and occupational performance. At 4-7 years after the grip reconstruction, both patients had full metacarpophalangeal (MCP) extension scoring M5 and M4, as well as full thumb extension scoring M5 and M4 on the right side. On the left side, MCP extension was weaker for both patients (M1/M2), whereas the thumb could extend against gravity (M3/M4). The maximal 1^st webspace opening measured between 5 and 11 cm. Pinch strength measured between 1.25 and 2.6 kg, and whole hand grip strength between 3.9 and 7.8 kg. The patients' grasps could fit around 80 and 50 mm wide cylinders using a normal right-handed grasp.</p><p><strong>Discussion: </strong>The CNaTT procedure successfully restored useful grasp and release function with long-lasting effects. A large-scale controlled study is needed to confirm these findings.</p>","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"11 1","pages":"1"},"PeriodicalIF":0.7,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immediate effect of alone and combined virtual reality, gait-like muscle vibration and transcranial direct current stimulation on neuropathic pain after spinal cord injury: a pilot study.","authors":"Pauline Sabalette, Nancy Dubé, Philippe Ménard, Mélanie Labelle, Marie-Thérèse Laramée, Johanne Higgins, Dorothy Barthélemy, Melanie Segado, Catherine Proulx, Cyril Duclos","doi":"10.1038/s41394-024-00696-5","DOIUrl":"10.1038/s41394-024-00696-5","url":null,"abstract":"<p><strong>Study design: </strong>Quasi-experimental pilot study.</p><p><strong>Objectives: </strong>Evaluate the immediate effect of virtual reality (VR), gait-like muscle vibration (MV) and transcranial direct current stimulation (tDCS) combined or alone on neuropathic pain in individuals with spinal cord injury (SCI).</p><p><strong>Setting: </strong>Inpatient rehabilitation centre.</p><p><strong>Methods: </strong>Four participants (two women and two men) with neuropathic pain after SCI participated in the pilot study. All participants received one session per week for four weeks. Each session started with a single-blind administration of active or sham tDCS (20 min) delivered in a pseudo-randomized order, followed by three interventions applied in a pseudo-randomized order (10 min each): gait-like muscle vibration only, watching a walking self-avatar in VR only and the combination of muscle vibration and VR. The intensity of pain was evaluated using a numeric rating scale (0-10, minimal clinically important difference: 2 points) before and after each stimulation.</p><p><strong>Results: </strong>Participants reported significant reduction of pain (reduction of two points or more) in 4/7 stimulations where VR was associated with muscle vibration, in 1/8 for VR-alone stimulations and in 1/7 for MV-only stimulations. Significant change in pain was found in 1/8 sham tDCS, but not after active tDCS.</p><p><strong>Conclusions: </strong>Our pilot study showed immediate pain relief when a walking-avatar VR stimulation was associated with gait-like muscle vibration. Even though previous studies supported tDCS for pain reduction, we did not observe any changes in pain after tDCS, likely due to its application once a week. Further research is needed to strengthen these promising results.</p>","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"10 1","pages":"83"},"PeriodicalIF":0.7,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11680929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving quality of care in traumatic spinal column/spinal cord injuries (TSC/SCI) in Iran: a policy brief.","authors":"Mohsen Sadeghi-Naini, Samuel Berchi Kankam, Arman Zeinaddini-Meymand, Zahra Ghodsi, Vali Baigi, Seyed Behnam Jazayeri, Zahra Azadmanjir, Vafa Rahimi-Movaghar","doi":"10.1038/s41394-024-00694-7","DOIUrl":"10.1038/s41394-024-00694-7","url":null,"abstract":"<p><strong>Study design: </strong>Descriptive study.</p><p><strong>Objectives: </strong>The National Spinal Cord/Column Injury Registry of Iran (NSCIR-IR) is a registry system to survey Traumatic Spinal Column/Spinal Cord Injuries (TSC/SCIs) patients and obtain the required data for quality-of-care assessment.</p><p><strong>Setting: </strong>Iran.</p><p><strong>Methods: </strong>In 2022, the pre-hospital, in-hospital, and post-hospital Quality of Care (QoC) of registered patients with TSC/SCIs in 8 referral hospitals in Iran were studied.</p><p><strong>Results: </strong>Based on the study reports, TSCI/SCIs and their complication management were highly influenced by the health system's performance. In particular, the health system structure and medical process were identified to affect patient outcomes. According to the QoC study reports, several recommendations, including goal setting by emergency medical service providers to transport patients with possible spinal injury to first care facilities in <1 h and to an equipped care facility in <8 h, the dedication of operating room available 24/7 for patients with TSC/SCIs in referral centers, the distinction between early vs late surgery in patients with TSC/SCIs by healthcare insurance to increase the propensity for early surgery, operating a specialized SCI care unit with trained physicians and personnel in the management of acute complications following SCI and early rehabilitation in referral hospitals were specified.</p><p><strong>Conclusion: </strong>This article provides a policy brief of this report. The role of the health system and medical process, as well as addressing TSC/SCIs health concerns by policymakers and stakeholders in the Ministry of Health and the parliament, to improve the QoC for patients with TSC/SCIs are discussed.</p>","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"10 1","pages":"82"},"PeriodicalIF":0.7,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving the rehabilitation of individuals admitted to England's National Spinal Injuries Centre with traumatic brain injury.","authors":"Lawson Falshaw, Nigel King, Imogen Cotter","doi":"10.1038/s41394-024-00690-x","DOIUrl":"10.1038/s41394-024-00690-x","url":null,"abstract":"<p><strong>Study design: </strong>Mixed methods service improvement project. Retrospective analysis of clinical documentation and qualitative focus group with clinicians.</p><p><strong>Objectives: </strong>Although traumatic brain injury (TBI) and spinal cord injury (SCI) often co-occur, many barriers have been found to identifying TBI in SCI rehabilitation and adapting treatment accordingly. This study aimed to compare the number of individuals with a TBI detected at England's National Spinal Injuries Centre to figures found in previous research and understand the barriers to adapting SCI rehabilitation in the presence of TBI.</p><p><strong>Setting: </strong>England's National Spinal Injuries Centre at Stoke Mandeville Hospital.</p><p><strong>Methods: </strong>This mixed methods study assessed the documentation at each stage of 88 patients' treatment where a TBI could be detected and used to inform rehabilitation, and subsequently, a focus group was conducted with staff to explore the barriers to detecting TBI and adapting SCI rehabilitation.</p><p><strong>Results: </strong>Results suggested that data related to TBI were inconsistently recorded, the number of individuals recorded as having a TBI at the centre was lower than a recent study, and several barriers were interpreted from the focus group.</p><p><strong>Conclusions: </strong>TBI in SCI populations may be an invisible unmet need. Several barriers may exist which prevent clinicians from detecting TBI in this population and adapting rehabilitation accordingly. Findings have implications for rehabilitation for individuals with TBI and SCI admitted to the service.</p>","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"10 1","pages":"81"},"PeriodicalIF":0.7,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11655986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric metameric cervical spinal cord arteriovenous malformation managed with staged endovascular and spinal stabilization approach: a case report.","authors":"Segev Gabay, Moran Hausman-Kedem, Udi Sadeh Gonik, Tali Jonash-Kimchi, Shelly Shiran, Rene Chapot, Jonathan Roth, Zvi Lidar, Dror Ofir","doi":"10.1038/s41394-024-00691-w","DOIUrl":"10.1038/s41394-024-00691-w","url":null,"abstract":"<p><strong>Introduction: </strong>Spinal cord arteriovenous malformations (SCAVM) are rare congenital vascular malformations, characterized by two or more AVMs affecting any of the spinal segments. SCAVM has complex pathophysiology and may be associated with acute, or progressively neurological deficits.</p><p><strong>Case presentation: </strong>A 12-year old girl, presented with progressive neurologic deficits secondary to compressive cervical myelopathy due to a cervical metameric SCAVM. She was successfully treated with a staged surgical-endovascular approach and regained normal neurological function with radiological stability.</p><p><strong>Discussion: </strong>SCAVM is a rare disease with complex management, and in many cases, the treatment is focused on palliative care. With multimodality management, of a combined surgical-endovascular approach, the patient achieved neurological, functional, and structural stability over the follow-up period.</p>","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"10 1","pages":"80"},"PeriodicalIF":0.7,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Symptomatic Ulnar Nerve Compression After Biceps-to-Triceps Tendon Transfer for Elbow Extension Reconstruction in Tetraplegia: A Case Report.","authors":"Noah Oiknine, Valérie Gervais, Scott H Kozin, Dominique Tremblay, Elie Boghossian","doi":"10.1038/s41394-024-00689-4","DOIUrl":"10.1038/s41394-024-00689-4","url":null,"abstract":"<p><strong>Introduction: </strong>Medially routed biceps-to-triceps tendon transfer for elbow extension reconstruction in spinal cord injury (SCI) has proven to be a reliable procedure. This technique classically places the tendon transfer superficial to a paralyzed ulnar nerve, with a theoretical risk of compression neuropathy.</p><p><strong>Case presentation: </strong>A 21-year-old male with a C5 American Spinal Injury Association Impairment Scale (AIS) grade B SCI who underwent bilateral biceps-to-triceps tendon transfers presented with new-onset paresthesias in the ring and small fingers 10.5 years following initial reconstructive surgery. These symptoms were accompanied by triggered upper extremity spasticity following repeated elbow flexion exercises. Clinical exam findings and ultrasound imaging were consistent with bilateral ulnar nerve compression. Surgical exploration revealed that the ulnar nerve was severely compressed by the tendinous part of the biceps bilaterally. The surgical technique used to decompress the ulnar nerve and perform an anterior transposition without taking down the rerouted biceps tendon is described. The patient demonstrated favorable post-operative outcomes.</p><p><strong>Conclusion: </strong>Compression of a paralyzed ulnar nerve in a tetraplegic patient after medially routed biceps-to-triceps tendon transfer can present with both classical and/or atypical findings. Although rare, this complication can be managed surgically by anterior transposition of the ulnar nerve without taking down the rerouted biceps tendon. The senior authors have modified their technique and now recommend passing the rerouted biceps tendon deep to the ulnar nerve to avoid compression neuropathy.</p>","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"10 1","pages":"79"},"PeriodicalIF":0.7,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}