Rating of intra-operative neuro-monitoring results in operative correction of the spinal deformities
Purpose of the work was filing the electrophysiological phenomena observed in the process of intra-operative neuromonitoring followed by development of the results’ scale of intra-operative neuro-physiological testing of the pyramidal tract. Materials and мethods. The selection for evaluation includ...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Russian |
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Vreden Russian Research Institute of Traumatology and Orthopedics
2016-06-01
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| Series: | Travmatologiâ i Ortopediâ Rossii |
| Subjects: | |
| Online Access: | https://journal.rniito.org/jour/article/view/5 |
| _version_ | 1819127919141715968 |
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| author | A. A. Skripnikov M. S. Saiphutdinov S. O. Ryabykh G. A. Krivoruchko A. P. Shein |
| author_facet | A. A. Skripnikov M. S. Saiphutdinov S. O. Ryabykh G. A. Krivoruchko A. P. Shein |
| author_sort | A. A. Skripnikov |
| collection | DOAJ |
| description | Purpose of the work was filing the electrophysiological phenomena observed in the process of intra-operative neuromonitoring followed by development of the results’ scale of intra-operative neuro-physiological testing of the pyramidal tract. Materials and мethods. The selection for evaluation included data of 147 protocols of intra-operative neuromonitoring in 135 patients (53 males, 82 females), aged from 1 y. 5 m. to 52 years (14,1±0,7 years) with spinal deformities of different etiology who underwent instrumentation spinal correction followed by fixation of thoracic / thoracolumbar spine segments using various variants of internal systems of trans-pedicular fixation. Intra-operative neuro-monitoring was performed using system «ISIS IOM» (Inomed Medizintechnik GmbH, Germany). The changes of motor evoked potentials were evaluated according to this scale. Results. Five types of pyramidal system reaction to operative invasion were revealed. According to neurophysiological criteria three grades of the risk of neurological disorders development during operative spinal deformity correction and, correspondingly, three levels of anxiety for the surgeon were defined. Conclusion. Intra-operative neurophysiological monitoring is the effective highly technological instrument to prevent neurological disorders in the spinal deformity. Offered rating scale of the risk of neurological complications gives the possibility to highlight three levels of anxiety during operative invasion. |
| first_indexed | 2024-12-22T08:19:34Z |
| format | Article |
| id | doaj.art-369bf493da3d4240be7a4b94b3e056fa |
| institution | Directory Open Access Journal |
| issn | 2311-2905 2542-0933 |
| language | Russian |
| last_indexed | 2024-12-22T08:19:34Z |
| publishDate | 2016-06-01 |
| publisher | Vreden Russian Research Institute of Traumatology and Orthopedics |
| record_format | Article |
| series | Travmatologiâ i Ortopediâ Rossii |
| spelling | doaj.art-369bf493da3d4240be7a4b94b3e056fa2022-12-21T18:32:48ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332016-06-0104374510.21823/2311-2905-2015-0-4-37-454Rating of intra-operative neuro-monitoring results in operative correction of the spinal deformitiesA. A. Skripnikov0M. S. Saiphutdinov1S. O. Ryabykh2G. A. Krivoruchko3A. P. Shein4Ilizarov Russian Scientific Center «Restorative Traumatology and Orthopedics»Ilizarov Russian Scientific Center «Restorative Traumatology and Orthopedics»Ilizarov Russian Scientific Center «Restorative Traumatology and Orthopedics»Ilizarov Russian Scientific Center «Restorative Traumatology and Orthopedics»Ilizarov Russian Scientific Center «Restorative Traumatology and Orthopedics»Purpose of the work was filing the electrophysiological phenomena observed in the process of intra-operative neuromonitoring followed by development of the results’ scale of intra-operative neuro-physiological testing of the pyramidal tract. Materials and мethods. The selection for evaluation included data of 147 protocols of intra-operative neuromonitoring in 135 patients (53 males, 82 females), aged from 1 y. 5 m. to 52 years (14,1±0,7 years) with spinal deformities of different etiology who underwent instrumentation spinal correction followed by fixation of thoracic / thoracolumbar spine segments using various variants of internal systems of trans-pedicular fixation. Intra-operative neuro-monitoring was performed using system «ISIS IOM» (Inomed Medizintechnik GmbH, Germany). The changes of motor evoked potentials were evaluated according to this scale. Results. Five types of pyramidal system reaction to operative invasion were revealed. According to neurophysiological criteria three grades of the risk of neurological disorders development during operative spinal deformity correction and, correspondingly, three levels of anxiety for the surgeon were defined. Conclusion. Intra-operative neurophysiological monitoring is the effective highly technological instrument to prevent neurological disorders in the spinal deformity. Offered rating scale of the risk of neurological complications gives the possibility to highlight three levels of anxiety during operative invasion.https://journal.rniito.org/jour/article/view/5spinal deformityintra-operative neuro-monitoringpyramidal systemneurological complications |
| spellingShingle | A. A. Skripnikov M. S. Saiphutdinov S. O. Ryabykh G. A. Krivoruchko A. P. Shein Rating of intra-operative neuro-monitoring results in operative correction of the spinal deformities Travmatologiâ i Ortopediâ Rossii spinal deformity intra-operative neuro-monitoring pyramidal system neurological complications |
| title | Rating of intra-operative neuro-monitoring results in operative correction of the spinal deformities |
| title_full | Rating of intra-operative neuro-monitoring results in operative correction of the spinal deformities |
| title_fullStr | Rating of intra-operative neuro-monitoring results in operative correction of the spinal deformities |
| title_full_unstemmed | Rating of intra-operative neuro-monitoring results in operative correction of the spinal deformities |
| title_short | Rating of intra-operative neuro-monitoring results in operative correction of the spinal deformities |
| title_sort | rating of intra operative neuro monitoring results in operative correction of the spinal deformities |
| topic | spinal deformity intra-operative neuro-monitoring pyramidal system neurological complications |
| url | https://journal.rniito.org/jour/article/view/5 |
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