Somatosensory evoked potential spinal cord monitoring reduces neurologic deficits after scoliosis surgery: results of a large multicenter survey
| Autor: | Linda G. Carlson, Linda E.A. Kanim, John E. Sherman, Marc R. Nuwer, Edgar G. Dawson |
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| Rok vydání: | 1995 |
| Předmět: |
medicine.medical_specialty
Neurological disorder Scoliosis Central nervous system disease Postoperative Complications Evoked Potentials Somatosensory Monitoring Intraoperative Surveys and Questionnaires medicine Humans business.industry General Neuroscience Electroencephalography medicine.disease Spinal cord Electric Stimulation Scoliosis surgery medicine.anatomical_structure Spinal Cord Somatosensory evoked potential Anesthesia Orthopedic surgery Multicenter survey Neurology (clinical) Nervous System Diseases business |
| Zdroj: | Electroencephalography and Clinical Neurophysiology/Evoked Potentials Section. 96:6-11 |
| ISSN: | 0168-5597 |
| DOI: | 10.1016/0013-4694(94)00235-d |
| Popis: | Neurologic deficits were compared to somatosensory evoked potential (SEP) spinal cord monitoring in a survey of spinal orthopedic surgeons. Experienced SEP spinal cord monitoring teams had fewer than one-half as many neurologic deficits per 100 cases compared to teams with relatively little monitoring experience. Experienced SEP monitoring teams also had fewer neurologic deficits than were seen in previous surveys of this group. Definite neurologic deficits, despite stable SEPs (false negative monitoring), occurred during surgery in only 0.063% of patients. Factors independently associated with fewer neurologic deficits also included the surgeon's years of experience in orthopedic surgery and the use of the wake-up test. Other technical survey results are also presented here. These results confirm the clinical efficacy of experienced SEP spinal cord monitoring for prevention of neurologic deficits during spinal surgery such as for scoliosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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