The ankle clonus test for assessment of the integrity of the spinal cord during operations for scoliosis

被引:37
作者
Hoppenfeld, S
Cross, A
Andrews, C
Lonner, B
机构
[1] ALBERT EINSTEIN COLL MED,LONG ISL JEWISH MED CTR,SCHNEIDER CHILDRENS HOSP,DEPT ORTHOPAED SURG,NEW HYDE PK,NY 11040
[2] MONTEFIORE HOSP & MED CTR,ALBERT EINSTEIN COLL MED HOSP,BRONX,NY 10461
关键词
D O I
10.2106/00004623-199702000-00007
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The ankle clonus test, a method for evaluating the integrity of the spinal cord during operations for scoliosis, is predicated on the finding that patients recovering from general anesthesia normally have temporary ankle clonus bilaterally An absence of transient ankle clonus has been shown to indicate neurological compromise. The test was performed for 1006 patients who were being managed with spinal arthrodesis and instrumentation and 115 control patients who had an operation under general anesthesia because of a condition that was unrelated to the spine, The six patients in whom a neurological deficit developed all had had a so-called positive result on the ankle clonus test (that is, an absence of transient ankle clonus), There were no false-negative results and three false-positive results; the test therefore had a sensitivity of 100 per cent and a specificity of 99.7 per cent, The ankle clonus test was found to be more accurate than the wake-up test and monitoring of somatosensory evoked potentials for predicting neurological compromise.
引用
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页码:208 / 212
页数:5
相关论文
共 12 条
[1]
BROWN RH, 1991, ADULT SPINE PRINCIPL, P549
[2]
DIMITREJEVIC M, 1978, NEUROLOGY, P173
[3]
BLOOD-SUPPLY OF SPINAL-CORD - CRITICAL VASCULAR ZONE IN SPINAL SURGERY [J].
DOMMISSE, GF .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1974, B 56 (02) :225-235
[4]
SOMATOSENSORY EVOKED-POTENTIALS DURING HARRINGTON INSTRUMENTATION FOR SCOLIOSIS [J].
ENGLER, GL ;
SPIELHOLZ, NI ;
BERNHARD, WN ;
DANZIGER, F ;
MERKIN, H ;
WOLFF, T .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1978, 60 (04) :528-532
[5]
INTRAOPERATIVE AWAKENING TO MONITOR SPINAL-CORD FUNCTION DURING HARRINGTON INSTRUMENTATION AND SPINE FUSION - DESCRIPTION OF PROCEDURE AND REPORT OF 3 CASES [J].
HALL, JE ;
LEVINE, CR ;
SUDHIR, KG .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1978, 60 (04) :533-536
[6]
JONES ET, 1982, CLIN ORTHOPAEDICS, V168, P113
[7]
POSTOPERATIVE NEUROLOGICAL DEFICITS MAY OCCUR DESPITE UNCHANGED INTRAOPERATIVE SOMATOSENSORY EVOKED-POTENTIALS [J].
LESSER, RP ;
RAUDZENS, P ;
LUDERS, H ;
NUWER, MR ;
GOLDIE, WD ;
MORRIS, HH ;
DINNER, DS ;
KLEM, G ;
HAHN, JF ;
SHETTER, AG ;
GINSBURG, HH ;
GURD, AR .
ANNALS OF NEUROLOGY, 1986, 19 (01) :22-25
[8]
NASH CL, 1977, CLIN ORTHOP RELAT R, V126, P100
[9]
PONTE A, 1974, J BONE JOINT SURG AM, VA 56, P444
[10]
*SCOL RES SOC, 1987, SCOL RES SOC MORB MO