Kyphosis – A risk factor for positioning brachial plexopathy during spinal surgeries
| Autor: | Barbara U R Smrke, Ismet Gavrankapetanović, Damir Vukomanovic, Ferid Krupic, Aida Sehic, Mirza Biscevic, Sejla Biscevic |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Shoulders Kyphosis Scoliosis Spine deformity Neurosurgical Procedures Patient Positioning 03 medical and health sciences Young Adult 0302 clinical medicine Postoperative Complications lcsh:Orthopedic surgery Risk Factors Monitoring Intraoperative Deformity Medicine Humans Orthopedics and Sports Medicine Neurofibromatosis Brachial plexopathy Brachial Plexus Neuropathies 030222 orthopedics business.industry Trunk 030229 sport sciences General Medicine Motor-evoked potentials medicine.disease Evoked Potentials Motor Surgery lcsh:RD701-811 medicine.anatomical_structure Outcome and Process Assessment Health Care Upper limb Brachial Plexopathy Female medicine.symptom business Research Article |
| Zdroj: | Acta Orthopaedica et Traumatologica Turcica, Vol 53, Iss 3, Pp 199-202 (2019) Acta Orthopaedica et Traumatologica Turcica |
| Popis: | Objective: The aim of this study was to evaluate the differences in transcranial electric motor-evoked potentials – TceMEP on upper limbs and the incidences of postoperative brachial plexopathy between patients with kyphotic and scoliotic trunk shapes. Methods: In the period of January 2011–January 2017, 61 consecutive patients (mean age: 18.4 years ± 4.4 years (range: 10–32)) with pediatric spinal deformity underwent surgery in our Department. Eight of them had a kyphotic trunk deformity (Scheuermann kyphosis, neurofibromatosis, posterior thoracic hemivertebra), and the rest of the 53 patients had a scoliotic trunk deformity (mostly adolescent idiopathic scoliosis – AIS, lateral hemivertebra). The TceMEP recordings in all four limbs were analyzed every 30 min, or upon the surgeon's command. Upper limb TceMEP recordings were used as a control of systemic and anesthetic related changes, and as the indicator of positioning brachial plexopathy. Results: Four out of 8 patients (50.0%) from the kyphotic group experienced noteworthy decreases in TceMEP amplitude (≥65%) in one or both arms, and only 2 out of 53 patients (3.8%) from the scoliotic group, confirming significant statistical difference (Chi-square 16.75, p |
| Databáze: | OpenAIRE |
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