دورية أكاديمية
أعرض في EDS

Application of Triggered EMG in the Intraoperative Neurophysiological Monitoring of Posterior Percutaneous Endoscopic Cervical Discectomy

التفاصيل البيبلوغرافية
العنوان: Application of Triggered EMG in the Intraoperative Neurophysiological Monitoring of Posterior Percutaneous Endoscopic Cervical Discectomy
المؤلفون: Yao‐bin Wang, Xiao‐bing Zhao, Bin Geng, Xiao‐yun Sheng, Kai Zhang, Chen Cao, Ya‐yi Xia, Shu‐lian Chen
المصدر: Orthopaedic Surgery, Vol 13, Iss 8, Pp 2236-2245 (2021)
بيانات النشر: Wiley, 2021.
سنة النشر: 2021
المجموعة: LCC:Orthopedic surgery
مصطلحات موضوعية: Cervical endoscopy, Cervical spondylotic radiculopathy, Intraoperative monitoring, Percutaneous endoscopic cervical discectomy, Triggered EMG, Orthopedic surgery, RD701-811
الوصف: Objective To describe the rationale and application of triggered EMG (T‐EMG) in intraoperative neurophysiological monitoring, and to explore the efficacy and safety of posterior percutaneous endoscopic cervical discectomy (PPECD) in the treatment of cervical spondylotic radiculopathy (CSR) under multimodal intraoperative neurophysiological monitoring (IOM). Methods This study was a retrospective cohort control study. The clinical data of 74 patients with single‐segment CSR from June 2015 to August 2018 were analyzed retrospectively, of whom 35 underwent IOM‐assisted PPECD with triggered EMG (T‐EMG group), while 39 were subjected to IOM‐assisted PPECD alone (IOM group). Operation time, hospital stay, and complications were recorded for both groups. The curative effect was evaluated according to the Visual Analog Scale (VAS) of neck and arm pain, Japanese Orthopaedic Association (JOA) score, and modified MacNab scale. Results Operations were successful and all patients were followed up for at least 24 (average 31.77 ± 9.51) months with no patient lost to follow‐up. No significant difference was found in preoperative baseline data between the T‐EMG and the IOM group (P > 0.05). Also, no significant difference was found in the operation time between the T‐EMG (108.29 ± 11.44 min) and the IOM (110.13 ± 12.70 min) (P > 0.05) group, but the difference in hospital stay (T‐EMG: 5.66 ± 0.99 days; IOM: 7.10 ± 1.43 days) was statistically significant (P 0.05). The 1‐month postoperative JOA scores for the two groups (12.69 ± 0.76; 12.59 ± 0.82) and those at the last follow‐up (14.60 ± 0.77; 14.36 ± 0.78) were significantly different from the preoperative scores (11.09 ± 0.98; 11.05 ± 0.89) (P 0.05). One patient in the T‐EMG group developed a transient aggravation of symptoms on the first day after surgery. In the IOM group, three patients had intraoperative cerebrospinal fluid leakage, and symptoms of C5 nerve root paralysis were presented in four patients following surgery. Compared with the IOM group, the T‐EMG group had fewer complications (1/35; 7/39, P
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1757-7861
1757-7853
Relation: https://doaj.org/toc/1757-7853; https://doaj.org/toc/1757-7861
DOI: 10.1111/os.13092
URL الوصول: https://doaj.org/article/26e8b3ad83474a6db73ac1cafd81c98c
رقم الأكسشن: edsdoj.26e8b3ad83474a6db73ac1cafd81c98c
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:17577861
17577853
DOI:10.1111/os.13092