SOMATOSENSORY-EVOKED POTENTIAL SPINAL-CORD MONITORING REDUCES NEUROLOGIC DEFICITS AFTER SCOLIOSIS SURGERY - RESULTS OF A LARGE MULTICENTER SURVEY

被引:417
作者
NUWER, MR
DAWSON, EG
CARLSON, LG
KANIM, LEA
SHERMAN, JE
机构
[1] UNIV CALIF LOS ANGELES,DEPT CLIN NEUROPHYSIOL,LOS ANGELES,CA 90024
[2] UNIV CALIF LOS ANGELES,DEPT ORTHOPED SURG,LOS ANGELES,CA 90024
来源
EVOKED POTENTIALS-ELECTROENCEPHALOGRAPHY AND CLINICAL NEUROPHYSIOLOGY | 1995年 / 96卷 / 01期
关键词
SOMATOSENSORY EVOKED POTENTIALS; SCOLIOSIS; MONITORING;
D O I
10.1016/0013-4694(94)00235-D
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
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.
引用
收藏
页码:6 / 11
页数:6
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