Video 1 – Pre-operative Examination Following Lymph Node Biopsy. Patient presented with a left spinal accessory nerve injury to our institution following a left neck lymph node biopsy. Upon examination, the patient was only able to forward flex the left shoulder to 90°. In addition, scapular winging is evident on the left shoulder. The patient was only able to abduct the left shoulder to approximately 45°.
Video 2 – Post-operative Recovery Following the Spinal Accessory Nerve Repair. Upon examination one year following the spinal accessory nerve repair, the patient recovered spinal accessory nerve function. The patient recovered full range-of-motion shoulder abduction. The patient also recovered full range-of-motion shoulder forward flexion. This is a typical result for this type of reconstruction. The results are excellent on this reconstruction possibly due to the accessory nerve being a true motor reconstruction without any sensory component. Even though there exists a long distance to reinnervate the middle and lower trapezius, our experience has seen this type of outstanding recovery following reconstruction of a complete accessory nerve injury with a short nerve graft.