Campbell Clinic, Campbell Foundation, Suite 510, 1211 Union Avenue, Memphis, TN 38104, USA.
Inspira Health Network, 1505 West Sherman Avenue, Vineland, NJ 08360, USA.
Orthop Clin North Am. 2024 Jan;55(1):89-99. doi: 10.1016/j.ocl.2023.07.002. Epub 2023 Aug 10.
Spinal cord injury is one of the most feared complications in spinal deformity surgery. The surgeon must be vigilant of direct and indirect sources of injury at all points during surgery. The incidence of complications has greatly decreased with the ability to monitor the motor and sensory pathways. Changes in signaling of these pathways provide context for what the insult is, and how to correct it before it becomes irreversible. There are well-established protocols that provide an algorithmic response to changes that can help all in the room determine the source of injury, and the appropriate reaction.
脊髓损伤是脊柱畸形手术中最令人恐惧的并发症之一。外科医生在手术过程中必须时刻警惕直接和间接的损伤源。随着监测运动和感觉通路能力的提高，并发症的发生率大大降低。这些通路信号的变化为损伤的性质以及在其变得不可逆转之前如何纠正提供了依据。已经有成熟的方案为这些变化提供了算法反应，可以帮助房间里的所有人确定损伤源和适当的反应。
