Intermountain Orthopaedics, Boise, Idaho, USA.
Muscle Nerve. 2010 Feb;41(2):262-4. doi: 10.1002/mus.21545.
Sprengel's deformity is the most common congenital deformity of the shoulder. A known complication of correcting this deformity is brachial plexus palsy. In this study we used somatosensory evoked potential (SSEP) monitoring during correction of a Sprengel's deformity and identified an early iatrogenic brachial plexus injury. The operation was modified, and permanent nerve injury was avoided. We recommend that SSEP monitoring be considered in procedures to correct Sprengel's deformity.
Sprengel 畸形是最常见的先天性肩部畸形。矫正这种畸形的已知并发症是臂丛神经麻痹。在这项研究中，我们在矫正 Sprengel 畸形过程中使用体感诱发电位 (SSEP) 监测，并发现了早期医源性臂丛神经损伤。手术方式进行了修改，避免了永久性神经损伤。我们建议在矫正 Sprengel 畸形的手术中考虑 SSEP 监测。
