SPINAL CORD MONITORING IN OPERATIONS FOR NEUROMUSCULAR SCOLIOSIS
| Autor: | M. H. H. Noordeen, B. A. Taylor, C. E. R. Gibbons, George E. Bentley, Justin C. Lee |
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| Rok vydání: | 1997 |
| Předmět: |
medicine.medical_specialty
Neuromuscular scoliosis business.industry Retrospective cohort study Scoliosis Somatosensory system medicine.disease Spinal cord Surgery medicine.anatomical_structure Somatosensory evoked potential medicine Orthopedics and Sports Medicine business Neurological impairment Rachis |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :53-57 |
| ISSN: | 2044-5377 0301-620X |
| DOI: | 10.1302/0301-620x.79b1.0790053 |
| Popis: | We reviewed retrospectively the role of monitoring of somatosensory spinal evoked potentials (SSEP) in 99 patients with neuromuscular scoliosis who had had operative correction with Luque-Galveston rods and sublaminar wiring. Our findings showed that SSEP monitoring was useful and that a 50% decrease in the amplitude of the trace optimised both sensitivity and specificity. The detection of true-positive results was higher than in cases of idiopathic scoliosis, but the method was less sensitive and specific and there were more false-negative results. In contrast with the findings in idiopathic scoliosis, recovery of the trace was associated with a 50% to 60% risk of neurological impairment. Only one permanent injury occurred during the use of this technique, and any temporary impairment resolved within two months. |
| Databáze: | OpenAIRE |
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