Intraoperative awakening to monitor spinal cord function during Harrington instrumentation and spine fusion. Description of procedure and report of three cases
Autor: | K G Sudhir, C R Levine, J E Hall |
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Rok vydání: | 1978 |
Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment General Medicine Spinal cord medicine.disease Spinal column Surgery medicine.anatomical_structure Spine fusion Spinal fusion Anesthesia Early ambulation medicine Orthopedic fixation devices Orthopedics and Sports Medicine In patient Paraplegia business psychological phenomena and processes |
Zdroj: | The Journal of Bone & Joint Surgery. 60:533-536 |
ISSN: | 0021-9355 |
DOI: | 10.2106/00004623-197860040-00017 |
Popis: | Since Vauzelle and associates first reported in 1973 on the functional monitoring of spinal cord activity during surgery on the spine, we have used intraoperative awakening routinely in patients undergoing surgery involving distraction of the spinal column. Of the 166 consecutive patients studied, three were discovered to have a neural deficiency when they were awakened during surgery. These deficits disappeared immediately on release of the distracting force. Although it is unlikely that all three patients would have proceeded to paraplegia, we believe that this is a safe and sensitive test which will identify patients in danger of neural complications. |
Databáze: | OpenAIRE |
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