دورية أكاديمية
Intraoperative Neurophysiological Monitoring in Corrective Surgery of Scoliosis - Experience at a Tertiary Care Hospital.
| العنوان: | Intraoperative Neurophysiological Monitoring in Corrective Surgery of Scoliosis - Experience at a Tertiary Care Hospital. |
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| المؤلفون: | Ali S; Department of Spine Surgery, Combined Military Hospital, Rawalpindi, Pakistan., Talha M; Department of Spine Surgery, Combined Military Hospital, Rawalpindi, Pakistan., Qureshi MA; Department of Spine Surgery, Combined Military Hospital, Rawalpindi, Pakistan., Afzal W; Department of Spine Surgery, Combined Military Hospital, Rawalpindi, Pakistan., Shamim B; Department of Spine Surgery, Combined Military Hospital, Rawalpindi, Pakistan., Inam S; Department of Spine Surgery, Combined Military Hospital, Rawalpindi, Pakistan. |
| المصدر: | Journal of the College of Physicians and Surgeons--Pakistan : JCPSP [J Coll Physicians Surg Pak] 2024 Mar; Vol. 34 (3), pp. 284-289. |
| نوع المنشور: | Observational Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: College of Physicians and Surgeons Pakistan Country of Publication: Pakistan NLM ID: 9606447 Publication Model: Print Cited Medium: Internet ISSN: 1681-7168 (Electronic) Linking ISSN: 1022386X NLM ISO Abbreviation: J Coll Physicians Surg Pak Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Karachi : College of Physicians and Surgeons Pakistan, |
| مواضيع طبية MeSH: | Intraoperative Neurophysiological Monitoring*/methods , Scoliosis*/surgery, Humans ; Tertiary Care Centers ; Evoked Potentials, Somatosensory/physiology ; Evoked Potentials, Motor/physiology ; Dioctyl Sulfosuccinic Acid ; Phenolphthalein ; Retrospective Studies |
| مستخلص: | Objective: To evaluate the role of intraoperative neurophysiological monitoring (IONM) in reducing the postoperative neurologic deficit following corrective surgery of scoliosis. Study Design: Observational Study. Place and Duration of the Study: Spine Surgery Department, Combined Military Hospital, Rawalpindi, from December 2022 to May 2023. Methodology: The study included 170 cases of scoliosis operated under multimodal IONM. Decreased amplitude of ≥50% in SSEP or 70-80% in MEPs were considered warning signs. Cases were divided into two groups: Group 1 (signal drop) and Group 2 (no signal drop). Group 1 was subdivided into Group 1a (true positive), Group 1b (false positive) and Group 1c (intermediate positive). Group 2 was subdivided into Group 2a (true negative) and Group 2b (false negative). Results: Evoked potential changes were observed in 27 (15.9%) cases. This includes transient drop of signals in 16 (9.4%) and sustained drop of signals in 11 (6.5%) cases. Among sustained signal drop, 9 (5.29%) cases had exhibited postoperative neurological deficit whereas 2 (1.17%) cases did not show postoperative neurological deficit (false positive). Multimodal IONM in the current study shows sensitivity of 100%, specificity of 98.6%, positive predictive value of 92.6%, and negative predictive value of 100%. Conclusion: Multimodal IONM reduces the incidence of postoperative neurological deficit in corrective surgery of scoliosis by effectively detecting neurologic injury during surgery. Monitoring events alert surgical team to exercise immediate corrective measures which likely results in recovery of lost signals and predict the favorable outcome. Key Words: Intraoperative monitoring, Motor evoked potentials, Neurological deficit, Scoliosis, Somatosensory evoked potentials. |
| المشرفين على المادة: | 10041-19-7 (Dioctyl Sulfosuccinic Acid) 6QK969R2IF (Phenolphthalein) |
| تواريخ الأحداث: | Date Created: 20240311 Date Completed: 20240312 Latest Revision: 20240312 |
| رمز التحديث: | 20240312 |
| DOI: | 10.29271/jcpsp.2024.03.284 |
| PMID: | 38462862 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1681-7168 |
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| DOI: | 10.29271/jcpsp.2024.03.284 |