AbstractWe report on the surgical results of spinal accessory nerve injuries between 1992–2003. We operated on 10 patients (9 female, and 1 male) who had injuries of the spinal accessory nerve. All injuries were iatrogenic. The mean age of patients was 39.2 years (range, 20–57 years). The average interval between date of injury and surgery was 7 months (range, 4–12 months). All patients had stiffness and pain in the shoulder girdle. The average active abduction of the shoulder joint was 79.5° (range, 60–100°) before surgery. End‐to‐end repairs were performed in 7 cases, and graft repairs were indicated in 3 cases. The mean follow‐up period was 18.4 months (range, 8–36 months). The average active abduction of the shoulder joint was 171° (range, 140–180°) at time of final follow‐up. © 2006 Wiley‐Liss, Inc. Microsurgery, 2006.