Hemodynamic Consideration in Intraoperative Neurophysiological Monitoring in Neuromuscular Scoliosis Surgery
Objective To prove the hypothesis that the parameters of intraoperative neurophysiological monitoring (IONM) during will be more deteriorated in neuromuscular scoliosis (NMS) than in adolescent idiopathic scoliosis (AIS). Methods This retrospective study reviewed the data of 69 patients (NMS=32, AIS...
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| Format: | Article |
| Language: | English |
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Korean Academy of Rehabilitation Medicine
2022-12-01
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| Series: | Annals of Rehabilitation Medicine |
| Subjects: | |
| Online Access: | http://e-arm.org/upload/pdf/arm-22100.pdf |
| _version_ | 1797697054920671232 |
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| author | Seok Young Chung Chae Hwan Lim Yoon Ghil Park Hak Sun Kim Dawoon Kim Jinyoung Park |
| author_facet | Seok Young Chung Chae Hwan Lim Yoon Ghil Park Hak Sun Kim Dawoon Kim Jinyoung Park |
| author_sort | Seok Young Chung |
| collection | DOAJ |
| description | Objective To prove the hypothesis that the parameters of intraoperative neurophysiological monitoring (IONM) during will be more deteriorated in neuromuscular scoliosis (NMS) than in adolescent idiopathic scoliosis (AIS). Methods This retrospective study reviewed the data of 69 patients (NMS=32, AIS=37) who underwent scoliosis surgery under IONM. The amplitude of motor evoked potentials (MEPs), and the amplitude and the latency of somatosensory evoked potentials (SEPs) were examined. Demographic, preoperative, perioperative and postoperative data were analyzed to determine whether they affected the IONM parameters for each group. Results Of the items analyzed, the bleeding amount was the only significant risk factor for SEP latency deterioration in the NMS group only. The amplitude of SEP and MEP did not correlate with the hemodynamic parameters. The NMS/AIS ratios of the bleeding-related parameters were higher in the order of bleeding amount/weight (2.62, p<0.01), bleeding amount/body mass index (2.13, p<0.01), and bleeding amount (1.56, p<0.01). This study suggests that SEP latency is more vulnerable than SEP or MEP amplitude in ischemic conditions during scoliosis surgery. Conclusion In NMS patients, it should be considered that the bleeding amount can have a critical effect on intraoperative electrophysiological deterioration. |
| first_indexed | 2024-03-12T03:34:48Z |
| format | Article |
| id | doaj.art-7c1befb5ac114cfabce7232875631ab9 |
| institution | Directory Open Access Journal |
| issn | 2234-0645 2234-0653 |
| language | English |
| last_indexed | 2024-03-12T03:34:48Z |
| publishDate | 2022-12-01 |
| publisher | Korean Academy of Rehabilitation Medicine |
| record_format | Article |
| series | Annals of Rehabilitation Medicine |
| spelling | doaj.art-7c1befb5ac114cfabce7232875631ab92023-09-03T13:17:36ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532022-12-0146629230210.5535/arm.221004284Hemodynamic Consideration in Intraoperative Neurophysiological Monitoring in Neuromuscular Scoliosis SurgerySeok Young Chung0Chae Hwan Lim1Yoon Ghil Park2Hak Sun Kim3Dawoon Kim4Jinyoung Park5 Department of Rehabilitation Medicine, Gangnam Severance Hospital, Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine, Seoul, Korea Department of Rehabilitation Medicine, Gangnam Severance Hospital, Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine, Seoul, Korea Department of Rehabilitation Medicine, Gangnam Severance Hospital, Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine, Seoul, Korea Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea Department of Rehabilitation Medicine, Gangnam Severance Hospital, Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine, Seoul, Korea Department of Rehabilitation Medicine, Gangnam Severance Hospital, Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine, Seoul, KoreaObjective To prove the hypothesis that the parameters of intraoperative neurophysiological monitoring (IONM) during will be more deteriorated in neuromuscular scoliosis (NMS) than in adolescent idiopathic scoliosis (AIS). Methods This retrospective study reviewed the data of 69 patients (NMS=32, AIS=37) who underwent scoliosis surgery under IONM. The amplitude of motor evoked potentials (MEPs), and the amplitude and the latency of somatosensory evoked potentials (SEPs) were examined. Demographic, preoperative, perioperative and postoperative data were analyzed to determine whether they affected the IONM parameters for each group. Results Of the items analyzed, the bleeding amount was the only significant risk factor for SEP latency deterioration in the NMS group only. The amplitude of SEP and MEP did not correlate with the hemodynamic parameters. The NMS/AIS ratios of the bleeding-related parameters were higher in the order of bleeding amount/weight (2.62, p<0.01), bleeding amount/body mass index (2.13, p<0.01), and bleeding amount (1.56, p<0.01). This study suggests that SEP latency is more vulnerable than SEP or MEP amplitude in ischemic conditions during scoliosis surgery. Conclusion In NMS patients, it should be considered that the bleeding amount can have a critical effect on intraoperative electrophysiological deterioration.http://e-arm.org/upload/pdf/arm-22100.pdfscoliosisevoked potentialsintraoperative neurophysiological monitoringblood loss |
| spellingShingle | Seok Young Chung Chae Hwan Lim Yoon Ghil Park Hak Sun Kim Dawoon Kim Jinyoung Park Hemodynamic Consideration in Intraoperative Neurophysiological Monitoring in Neuromuscular Scoliosis Surgery Annals of Rehabilitation Medicine scoliosis evoked potentials intraoperative neurophysiological monitoring blood loss |
| title | Hemodynamic Consideration in Intraoperative Neurophysiological Monitoring in Neuromuscular Scoliosis Surgery |
| title_full | Hemodynamic Consideration in Intraoperative Neurophysiological Monitoring in Neuromuscular Scoliosis Surgery |
| title_fullStr | Hemodynamic Consideration in Intraoperative Neurophysiological Monitoring in Neuromuscular Scoliosis Surgery |
| title_full_unstemmed | Hemodynamic Consideration in Intraoperative Neurophysiological Monitoring in Neuromuscular Scoliosis Surgery |
| title_short | Hemodynamic Consideration in Intraoperative Neurophysiological Monitoring in Neuromuscular Scoliosis Surgery |
| title_sort | hemodynamic consideration in intraoperative neurophysiological monitoring in neuromuscular scoliosis surgery |
| topic | scoliosis evoked potentials intraoperative neurophysiological monitoring blood loss |
| url | http://e-arm.org/upload/pdf/arm-22100.pdf |
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