脊柱侧弯手术的神经监测
Neuromonitoring for scoliosis surgery.
作者信息
Glover Chris D, Carling Nicholas P
机构信息
Department of Pediatrics and Anesthesiology, Texas Children's Hospital, Baylor College of Medicine, 6621 Fannin Street, Suite A3300, Houston, TX 77030, USA.
Department of Pediatrics and Anesthesiology, Texas Children's Hospital, Baylor College of Medicine, 6621 Fannin Street, Suite A3300, Houston, TX 77030, USA.
出版信息
Anesthesiol Clin. 2014 Mar;32(1):101-14. doi: 10.1016/j.anclin.2013.10.001. Epub 2013 Dec 13.
The use of intraoperative neuromonitoring (IONM) during pediatric scoliosis repair has become commonplace to reduce the risk of potentially devastating postoperative neurologic deficits. IONM techniques include somatosensory evoked potentials, motor evoked potentials, electromyography, and intraoperative wake-up tests. Special considerations for scoliosis repair in pediatric patients include preexisting neurologic deficits and young patients with immature neural pathways in whom neurophysiologic monitoring may prove difficult or unreliable.
在小儿脊柱侧弯修复手术中使用术中神经监测（IONM）已成为常规操作，以降低术后出现潜在严重神经功能缺损的风险。IONM技术包括体感诱发电位、运动诱发电位、肌电图和术中唤醒试验。小儿患者脊柱侧弯修复手术的特殊考量因素包括既往存在的神经功能缺损，以及神经通路未成熟的年轻患者，对这些患者进行神经生理监测可能会很困难或不可靠。
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