Shoakazemi Alireza, Moisi Marc, Tubbs R Shane, Wingerson Mary, Ajayi Olaide, Zwillman Michael E, Gottlieb Jourdan, Hanscom David
Neurosurgery, Swedish Neuroscience Institute.
Neurosurgery, Seattle Science Foundation.
Cureus. 2016 Jan 25;8(1):e468. doi: 10.7759/cureus.468.
Intraoperative neurophysiological monitoring is a commonly used practice during spine surgery. Complications of electromyography (EMG) needle electrode placement are very uncommon. We present a patient who was infected with necrotizing fasciitis in her left thigh due to an EMG needle electrode during a two-stage complex spine procedure. This case demonstrates that providers should continue to meticulously adhere to protocol when inserting and removing EMG needles, but also be cognizant during postoperative observation of the possibility of infection caused by EMG needles.
术中神经生理监测是脊柱手术中常用的操作。肌电图（EMG）针电极放置的并发症非常罕见。我们报告一例患者，在一期复杂脊柱手术中，因EMG针电极导致左大腿坏死性筋膜炎感染。该病例表明，医护人员在插入和拔出EMG针时应继续严格遵守操作规程，而且在术后观察时也要意识到EMG针可能引起感染。
