NEUROLOGIC INJURY AFTER INSERTION OF LAMINAR HOOKS DURING COTREL-DUBOUSSET INSTRUMENTATION

被引：32

作者：

BEEN, HD

KALKMAN, CJ

TRAAST, HS

DEVISSER, BWO

机构：

[1] Departments of Orthopaedic Surgery, Academic Hospital, University of Amsterdam

[2] Departments of Anesthesiology, Academic Hospital, University of Amsterdam

[3] Departments of Clinical Neurophysiology, Academic Hospital, University of Amsterdam

来源：

SPINE | 1994年 / 19卷 / 12期

关键词：

SCOLIOSIS; COTREL-DUBOUSSET INSTRUMENTATION; LUMBAR LAMINAR HOOKS; NEUROLOGIC INJURY; SOMATOSENSORY-EVOKED POTENTIALS;

D O I：

10.1097/00007632-199406000-00017

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background Data. Although the use of Cotrel-Dubousset (CD) instrumentation has improved results of operative treatment of scoliotic deformities, this technique may be associated with increased risk of neurologic injury. Case Histories. Two cases of neurologic complications immediately after insertion of lumbar laminar hooks during CD instrumentation for correction of scoliosis are reported. Methods. Between 1986 and 1992, the authors performed 220 CD instrumentations for various spinal deformities. All patients were monitored with posterior tibial nerve somatosensory cortical evoked potentials (PTN-SSEPs). Conclusion. These cases demonstrate that caution should be exercised during introduction of laminar hooks on the concave side during CD instrumentation for scoliotic deformities. Continuous neurophysiologic monitoring of spinal cord conduction may aid in early detection of local compression at the spinal cord or cauda equina level.

引用

页码：1402 / 1405

页数：4

共 15 条

[1]

Been H.D., Surgical techniques of the spine, Curr Opin Orthop, 3, pp. 204-212, (1992)

[2]

Chopin D., Cotrel-Dubousset instrumentation (CDI) for adolescent and pediatric scoliosis, The Textbook of Spinal Surgery, pp. 183-212, (1991)

[3]

Cotrel Y., Implants and instruments, Instrumentation in Spine Surgery, (1992)

[4]

Cotrel Y., Mistakes in C-D instrumentation, CD Instrumentation in Spine Surgery, pp. 133-159, (1992)

[5]

Drummond D.S., A perspective on recent trends for scoliosis correction, Clin Orthop, 264, pp. 90-102, (1991)

[6]

Dubousset J., Cotrel Y., Application technique of Cotrel-Dubousset instrumentation for scoliosis deformities, Clin Orthop, 264, pp. 103-110, (1991)

[7]

Forbes H.J., Allen P.W., Waller C.S., Et al., Spinal cord monitoring in scoliosis surgery, J Bone Joint Surg, 73B, pp. 487-492, (1991)

[8]

Goll S.R., Balderston R.A., Stambough J.L., Booth R.E., Cohn J.C., Pickens G.T., Depth of intraspinal wire penetration during passage of sublaminar wires, Spine, 13, pp. 503-509, (1988)

[9]

Kostuik J.P., Current concepts review operative treatment of idiopathic scoliosis, J Bone Joint Surg, 72A, pp. 1108-1114, (1990)

[10]

Lowe T.G., Morbity and Mortality Committee Report of the Scoliosis Research Society, (1987)

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