Halsey Matthew F, Myung Karen S, Ghag Arvindera, Vitale Michael G, Newton Peter O, de Kleuver Marinus
Department of Orthopaedics and Rehabilitation, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, OP31, Portland, OR, 97239, USA.
Department of Orthopedic Surgery, Indiana University Riley Hospital for Children, 705 Riley Hospital Drive, ROC 4250, Indianapolis, IN, USA.
Spine Deform. 2020 Aug;8(4):591-596. doi: 10.1007/s43390-020-00140-2. Epub 2020 May 25.
The Scoliosis Research Society has developed an updated information statement on intraoperative neurophysiological monitoring of spinal cord function during spinal deformity surgery. The statement reviews the risks of spinal cord compromise associated with spinal deformity surgery; the statement then discusses the various modalities that are available to monitor the spinal cord, including somatosensory-evoked potentials, motor-evoked potentials, and electromyographic (EMG) options. Anesthesia considerations, the importance of a thoughtful team approach to successful monitoring, and the utility of checklists are also discussed. Finally, the statement expresses the opinion that utilization of intraoperative neurophysiological spinal cord monitoring in spinal deformity surgery is the standard of care when the spinal cord is at risk.
脊柱侧弯研究学会制定了一份关于脊柱畸形手术中脊髓功能术中神经生理监测的最新信息声明。该声明回顾了与脊柱畸形手术相关的脊髓损伤风险；然后讨论了用于监测脊髓的各种方式，包括体感诱发电位、运动诱发电位和肌电图（EMG）选项。还讨论了麻醉注意事项、采用周全的团队方法以成功进行监测的重要性以及检查表的效用。最后，该声明表达了这样一种观点，即在脊髓面临风险时，在脊柱畸形手术中使用术中神经生理脊髓监测是医疗标准。
