Spinal Cord Monitoring
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Orthopaedic Proceedings Vol. Published Online: 21 Feb Add to favourites Download Citations Track Citations. Provocative testing of segmental artery feed to the anterior spinal cord prior to ligation with transcranial electric motor evoked potentials. Google Scholar.
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Findings also suggest that the cord is ischaemic after tSCI. Mario Ganau, Neurosurgeon.
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Objective To assess the validity of Somatosensory Evoked Potential SSEP monitoring in identifying potential spinal cord vascular damage resulting from segmental artery ligation in anterior spinal deformity correction. Design SSEP monitoring was undertaken in patients deemed at risk of spinal cord vascular injury during corrective surgery. The segmental vessels of the vertebral bodies to be instrumented were identified.
Baseline SSEPs were obtained prior to application of non-crushing microvascular clamps.
After ten minutes of occlusion, further SSEP recordings were made. Surgery proceeded with either, vessel ligation and division allowing anterior instrumentation, or vessel sparing anterior release.
Spinal Cord Monitoring
Perceived risk was defined by the presence of hyperkyphosis, abnormal neurological examination or radiologically identified spinal cord anomaly. Post-operative neurological outcome was correlated with intra-operative signal change and alteration in planned surgery.
In 3 scoliosis patients anterior instrumentation was abandoned and a release was performed.