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脊柱侧弯手术中的神经肌肉监测与唤醒试验

Neuromuscular Monitoring and Wake-Up Test During Scoliosis Surgery.

作者信息

Paunikar Saely, Paul Amreesh, Wanjari Dnyanshree, Alaspurkar Nitin R

机构信息

Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Aug 24;15(8):e44046. doi: 10.7759/cureus.44046. eCollection 2023 Aug.

DOI:10.7759/cureus.44046
PMID:37746490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10517712/
Abstract

A typical spine is straight and symmetrical, with all of the vertebrae facing forward when viewed from the posterior. Scoliosis is a term used to describe a lateral deviation of the spine's normal vertical line that is greater than 10° on an X-ray. More severe curves are sometimes accompanied by medical issues such as increased back discomfort and cardiorespiratory difficulties along with the cosmetic components of the deformity. The test for spinal cord integrity prior to the widespread adoption of intraoperative neurophysiologic monitoring (IOM) was the wake-up test. In this article, we review the challenges faced by anesthesiologists and surgeons during intraoperative monitoring and the importance of clinical assessment of surgical outcomes.

摘要

典型的脊柱是笔直且对称的，从后方观察时，所有椎体均朝前。脊柱侧弯是一个术语，用于描述脊柱正常垂直线的侧向偏差，在X射线上该偏差大于10°。更严重的侧弯有时会伴有一些医学问题，如背部不适加剧、心肺功能障碍以及畸形的外观问题。在术中神经生理监测（IOM）广泛应用之前，检测脊髓完整性的方法是唤醒试验。在本文中，我们回顾了麻醉医生和外科医生在术中监测过程中面临的挑战以及手术结果临床评估的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/ef1d507b802f/cureus-0015-00000044046-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/2f70c18bd6ac/cureus-0015-00000044046-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/e66e39f577bd/cureus-0015-00000044046-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/e97841050b71/cureus-0015-00000044046-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/141e8b51b84c/cureus-0015-00000044046-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/5b387a42e084/cureus-0015-00000044046-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/98d714276f95/cureus-0015-00000044046-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/26369310fa28/cureus-0015-00000044046-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/e1f609d43d04/cureus-0015-00000044046-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/0b4c974c7e6b/cureus-0015-00000044046-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/526639b09ce5/cureus-0015-00000044046-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/ef1d507b802f/cureus-0015-00000044046-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/2f70c18bd6ac/cureus-0015-00000044046-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/e66e39f577bd/cureus-0015-00000044046-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/e97841050b71/cureus-0015-00000044046-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/141e8b51b84c/cureus-0015-00000044046-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/5b387a42e084/cureus-0015-00000044046-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/98d714276f95/cureus-0015-00000044046-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/26369310fa28/cureus-0015-00000044046-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/e1f609d43d04/cureus-0015-00000044046-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/0b4c974c7e6b/cureus-0015-00000044046-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/526639b09ce5/cureus-0015-00000044046-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5818/10517712/ef1d507b802f/cureus-0015-00000044046-i11.jpg

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Anaesthetic care for surgical management of adolescent idiopathic scoliosis.青少年特发性脊柱侧凸手术治疗的麻醉护理
BJA Educ. 2019 Jul;19(7):232-237. doi: 10.1016/j.bjae.2019.03.005. Epub 2019 May 14.
2
Cobb Angle Measurement of Spine from X-Ray Images Using Convolutional Neural Network.使用卷积神经网络从X射线图像测量脊柱的Cobb角
Comput Math Methods Med. 2019 Feb 19;2019:6357171. doi: 10.1155/2019/6357171. eCollection 2019.
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Complications following spine fusion for adolescent idiopathic scoliosis.青少年特发性脊柱侧弯脊柱融合术后的并发症。
Curr Rev Musculoskelet Med. 2016 Dec;9(4):462-469. doi: 10.1007/s12178-016-9372-5.
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Adolescent Idiopathic Scoliosis.青少年特发性脊柱侧弯
Open Orthop J. 2016 May 30;10:143-54. doi: 10.2174/1874325001610010143. eCollection 2016.
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Korean J Pediatr. 2015 Jun;58(6):218-23. doi: 10.3345/kjp.2015.58.6.218. Epub 2015 Jun 22.
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Intraoperative spinal cord monitoring during the surgical correction of scoliosis due to cerebral palsy and other neuromuscular disorders.术中脊髓监测在脑瘫和其他神经肌肉疾病导致的脊柱侧凸手术矫正中的应用。
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