Hemodynamic Consideration in Intraoperative Neurophysiological Monitoring in Neuromuscular Scoliosis Surgery
| Autor: | Seok Young Chung, Chae Hwan Lim, Yoon Ghil Park, Hak Sun Kim, Dawoon Kim, Jinyoung Park |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Annals of Rehabilitation Medicine, Vol 46, Iss 6, Pp 292-302 (2022) |
| Druh dokumentu: | article |
| ISSN: | 2234-0645 2234-0653 |
| DOI: | 10.5535/arm.22100 |
| Popis: | Objective To prove the hypothesis that the parameters of intraoperative neurophysiological monitoring (IONM) during will be more deteriorated in neuromuscular scoliosis (NMS) than in adolescent idiopathic scoliosis (AIS). Methods This retrospective study reviewed the data of 69 patients (NMS=32, AIS=37) who underwent scoliosis surgery under IONM. The amplitude of motor evoked potentials (MEPs), and the amplitude and the latency of somatosensory evoked potentials (SEPs) were examined. Demographic, preoperative, perioperative and postoperative data were analyzed to determine whether they affected the IONM parameters for each group. Results Of the items analyzed, the bleeding amount was the only significant risk factor for SEP latency deterioration in the NMS group only. The amplitude of SEP and MEP did not correlate with the hemodynamic parameters. The NMS/AIS ratios of the bleeding-related parameters were higher in the order of bleeding amount/weight (2.62, p |
| Databáze: | Directory of Open Access Journals |
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