Nuwer M R, Dawson E G, Carlson L G, Kanim L E, Sherman J E
UCLA Department of Neurology 90024-6987.
Electroencephalogr Clin Neurophysiol. 1995 Jan;96(1):6-11. doi: 10.1016/0013-4694(94)00235-d.
Neurologic deficits were compared to somatosensory evoked potential (SEP) spinal cord monitoring in a survey of spinal orthopedic surgeons. Experienced SEP spinal cord monitoring teams had fewer than one-half as many neurologic deficits per 100 cases compared to teams with relatively little monitoring experience. Experienced SEP monitoring teams also had fewer neurologic deficits than were seen in previous surveys of this group. Definite neurologic deficits, despite stable SEPs (false negative monitoring), occurred during surgery in only 0.063% of patients. Factors independently associated with fewer neurologic deficits also included the surgeon's years of experience in orthopedic surgery and the use of the wake-up test. Other technical survey results are also presented here. These results confirm the clinical efficacy of experienced SEP spinal cord monitoring for prevention of neurologic deficits during spinal surgery such as for scoliosis.
在一项针对脊柱整形外科医生的调查中，将神经功能缺损与体感诱发电位（SEP）脊髓监测进行了比较。与监测经验相对较少的团队相比，经验丰富的SEP脊髓监测团队每100例病例中的神经功能缺损不到其一半。经验丰富的SEP监测团队的神经功能缺损也比该组以前的调查中所见的要少。尽管SEP稳定（假阴性监测），但在手术过程中明确的神经功能缺损仅发生在0.063%的患者中。与较少神经功能缺损独立相关的因素还包括外科医生的骨科手术经验年限以及唤醒试验的使用。此处还展示了其他技术调查结果。这些结果证实了经验丰富的SEP脊髓监测在预防脊柱手术（如脊柱侧弯手术）期间神经功能缺损方面的临床疗效。
