在拉米诺塑性手术期间,手术内唤起的潜力的极限和有用性
Rossella Rispoli1, Christian Lettieri2, Giada Pauletto2
1Spine and Spinal Cord Surgery Unit, University Hospital of Udine, Udine, Italy - rossella.rispoli@asufc.sanita.fvg.it.
Journal of neurosurgical sciences
|November 16, 2023
概括
在宫层塑造术期间,手术内神经生理监测 (IONM) 有助于评估脊髓减压. 减少运动唤起潜能 (MEP) 延迟可能会预测患有退行性宫骨髓病的患者的更好的结果.
科学领域:
- 神经外科 神经外科
- 神经生理学 神经生理学
背景情况:
- 术内神经生理学监测 (IONM) 越来越多地用于脊椎髓病的手术.
- 这项研究评估了IONM对脊髓减压的预测价值以及在拉米诺塑造术中的长期结果.
研究的目的:
- 为了评估IONM在拉米诺塑造术中对脊髓减压的预测价值.
- 评估IONM发现与长期神经功能结果之间的相关性.
主要方法:
- 38名患有退行性宫骨髓病的患者接受了开门拉米诺整形手术.
- 术前和术后的日本骨科协会 (JOA) 评分被用于临床评估.
- 在手术过程中记录了体感官和运动唤起的潜能 (SSEP和MEP).
主要成果:
- IONM确定了三名患者,由于引起的潜在变化,他们需要从拉米尼切除术转换为拉米尼切除术.
- 较低的下肢运动唤起潜力 (MEP) 延迟与更好的术后JOA得分相关.
- 在减少MEP延迟的患者中观察到JOA得分的显著改善 (≥30%).
结论:
- IONM对于评估在拉米诺塑性手术期间脊髓减压效果至关重要.
- 较低的下肢MEP延迟显示出作为有利临床结果的预测因素的潜力.
- 建议常规使用IONM,需要进行更大规模的研究来确认预测价值.
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