Somatosensory Evoked Potential Recordings for Decision Making on Instrumentation During Scoliosis Surgery
Somatosensory evoked potential (SEP) recordings for 270 patients who underwent corrective surgery for kyphoscoliosis were reviewed. When the SEP was normal during the instrumentations, the chance that the patient would awaken from the anesthesia with paralysis of the limb was 0.4%. SEP abnormalities occured most frequently during instrumental manipulation of the spinal column. The surgeon could adjust the distraction rods or compression apparatus whenever the potential deteriorated. The results reconfirmed the validity of intraoperative SEP and provides important information for surgeons to use in decision making during critical maneuvering of the spinal cord and surrounding neurovascular structures.
KeywordsMorphine Neuropathy Fentanyl Nash
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