Specialist, Clinic for Spine Pathology and Rare Diseases National Ilizarov Medical Research Center for Traumatology and Orthopedics, Ministry of Health of the Russian Federation, 6 M. Ulyanova St., Kurgan, 640014, Russia.
Leading Researcher National Ilizarov Medical Research Center for Traumatology and Orthopedics, Ministry of Health of the Russian Federation, 6 M. Ulyanova St., Kurgan, 640014, Russia.
Sovrem Tekhnologii Med. 2021;13(5):55-60. doi: 10.17691/stm2021.13.5.07. Epub 2021 Oct 29.
was to study the effect of adverse intraoperative events on the subclinical decrease in the functional state of the sensorimotor system of patients with scoliosis and their early postoperative rehabilitation.
The results of the examination of 30 adolescents of 13-16 years old with scoliosis before and after surgical correction were compared. Intraoperative neurophysiological monitoring was used by the method of transcranial evoked motor potentials. The patients were divided into two groups depending on the presence or absence of neurophysiological signs of damage to nerve structures during the operation.
The amplitude of the M-responses of the muscles of the lower limbs in the postoperative period remains at a level close to the initial one, with a noticeable decrease in the amplitude of voluntary electromyography, which is expressed unevenly and to a greater extent in patients with intraoperative signs of hazard for the motor pathways of the spinal cord.
Adverse intraoperative events cause significant changes in the state of the motor system of patients with scoliosis and reduce the effectiveness of rehabilitation treatment in the postoperative period.
研究术中不良事件对脊柱侧弯患者感觉运动系统亚临床功能状态下降的影响及其术后早期康复。
比较了 30 例 13-16 岁青少年脊柱侧弯患者术前和术后的检查结果。术中采用经颅诱发运动电位法进行神经生理监测。根据手术过程中是否存在神经结构损伤的神经生理征象，将患者分为两组。
术后下肢肌肉 M 反应的振幅仍接近初始水平，但随意肌电图的振幅明显下降，在术中存在脊髓运动通路危险征象的患者中，这种下降表现更为不均匀和显著。
术中不良事件导致脊柱侧弯患者运动系统状态发生显著变化，并降低术后康复治疗的效果。
