Application of intraoperative electrophysiological monitoring in vertebral canal decompression surgery for acute spinal cord injury

Autor: Qun-Xi Li, Xiao-Jing Zhao, Yun-He Zhang, Tie-Jun Liu, Xiang-Nan Li, Jian-Min Li, Aijun Fu, Fu-Xia Zheng, Tong Chen
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
Decompression
Male
Medicine (General)
China
motor evoked potential
medicine.medical_treatment
intraoperative monitoring
spinal canal decompression
030204 cardiovascular system & hematology
Biochemistry
03 medical and health sciences
0302 clinical medicine
R5-920
Evoked Potentials
Somatosensory
Monitoring
Intraoperative
Decompressive surgery
medicine
Humans
Spinal cord injury
Spinal Cord Injuries
business.industry
Biochemistry (medical)
Laminectomy
Cell Biology
General Medicine
Middle Aged
medicine.disease
Decompression
Surgical
Evoked Potentials
Motor
laminectomy
spinal cord injury
Electrophysiology
Vertebral canal
Somatosensory evoked potential
Spinal Cord
030220 oncology & carcinogenesis
Anesthesia
Acute spinal cord injury
Female
business
Spinal Canal
Retrospective Clinical Research Report
Zdroj: The Journal of International Medical Research
Journal of International Medical Research, Vol 48 (2020)
ISSN: 1473-2300
0300-0605
Popis: Objective This study aimed to evaluate the joint monitoring of somatosensory evoked potentials (SEPs) and motor evoked potentials (MEPs) in vertebral canal decompression surgery for acute spinal cord injury. Methods Twenty-four patients, who were admitted to the hospital for the surgical treatment of spinal cord injury with SEP and MEP monitoring, were assigned to the intraoperative monitoring group (group I). In addition, 24 patients who were admitted to the hospital for the surgical treatment of spinal cord injury without SEP or MEP monitoring were assigned to the control group (group C). Results In group I, there were significant changes before and after decompression surgery in the P40 latency and amplitude, and in the latency of MEP in the abductor hallucis brevis (AHB), in patients with improved spinal nerve function following surgery. In contrast, there were no significant differences in the P40 latency or amplitude, or the latency of MEP in the AHB, in patients who showed no improvement after surgery. Conclusion In vertebral canal decompression surgery for acute spinal cord injury, the application of joint MEP and SEP monitoring can timely reflect changes in spinal cord function.
Databáze: OpenAIRE
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