“…Alternatively, costovertebral exarticulation of the first rib may be a viable alternative in patients with neurogenic thoracic outlet syndrome, as demonstrated in a retrospective clinical study [ 11 ]. Furthermore, research on nerve transfers for brachial plexus reconstruction in patients over 60 years underscores the importance of age-specific considerations in surgical decision-making [ 12 ]. By tailoring treatment strategies to the unique needs and physiological characteristics of older patients, clinicians can optimize outcomes and enhance quality of life, reaffirming the principle of personalized care in peripheral nerve surgery.…”