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粘附表面电极与腰椎手术中基于针的神经监测相比

Renuka Chintapalli¹, Dhiraj Pangal², Maria-Jose Cavagnaro²

¹School of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom.

Surgical neurology international

|July 8, 2024

概括

基于粘附表面电极的神经监测 (ABM) 与用于腰部融合的基于针的神经监测 (NBM) 具有相似的安全性和有效性. 在不增加手术时间的情况下,ABM降低了成本和神经生理学家的劳动力需求.

科学领域:

神经外科神经外科
医疗器械医疗器械
患者安全患者安全

背景情况:

传统的基于针的神经监测 (NBM) 是有效的,但可能是耗时和昂贵的.
基于粘附表面电极的神经监测 (ABM) 是一种潜在的更安全和更通用的替代方案.

研究的目的:

为了比较ABM与NBM在跨骨腰部体融合 (TLIF) 程序中的有效性,安全性和成本效益.
评估ABM对手术持续时间和资源利用的影响.

主要方法:

一级和两级TLIF程序的回顾性队列审查 (2019-2023年).
在ABM (31名患者) 和NBM (51名患者) 组之间对手术时间的比较 (OR入口切口,OR入口关闭,切口关闭).
使用单变量和双变量分析来评估结果差异.

主要成果:

在ABM和NBM组之间没有观察到手术时间的显著差异.
这两种方法的安全性相似,因仪器位置不当或新出现的术后神经缺陷而没有重新手术.
ABM导致神经生理学家工作人员和神经监测总体成本的减少.

结论:

对于TLIF来说,ABM是NBM的可行替代品,提供类似的临床结果和安全性.
虽然ABM不减少手术时间,但它显著降低了侵入性,劳动力需求和与神经监测相关的成本.

关键词:

成本效率成本效率.脊柱外科手术脊柱外科手术表面电极是表面的电极.变形腰间体融合 (TLIF) 发生.手术时间手术时间

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