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Spinal Cord Monitoring and Electrodiagnosis pp 346–352Cite as

Somatosensory Evoked Potential Recordings for Decision Making on Instrumentation During Scoliosis Surgery

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Abstract

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.

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References

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113, Japan

    Y. Node

  2. Department of Neurosurgery, Johns Hopkins University, 600 North Wolfe Street, Baltimore, MD, 21205, USA

    S. Uematsu

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  1. Y. Node
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  2. S. Uematsu
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Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Niigata University School of Medicine, Asahi-Machi 1, Niigata 951, Japan

    Koki Shimoji M.D. (Professor and Chairman) (Professor and Chairman)

  2. Department of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113, Japan

    Takahide Kurokawa M.D. (Professor and Director) (Professor and Director)

  3. Department of Orthopaedics, Wakayama Medical College, Wakayama, Japan

    Tetsuya Tamaki M.D. (Professor and Chairman) (Professor and Chairman)

  4. Marine Biomedical Institute Ashbel Smith, Department of Anatomy and Neurosciences, The University of Texas Medical Branch at Galveston, 200 University Boulevard, 77550-2772, Galveston, Texas, USA

    William D. Willis Jr. M.D., PhD. (Director) (Director)

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© 1991 Springer-Verlag Berlin Heidelberg

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Node, Y., Uematsu, S. (1991). Somatosensory Evoked Potential Recordings for Decision Making on Instrumentation During Scoliosis Surgery. In: Shimoji, K., Kurokawa, T., Tamaki, T., Willis, W.D. (eds) Spinal Cord Monitoring and Electrodiagnosis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75744-0_42

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  • DOI: https://doi.org/10.1007/978-3-642-75744-0_42

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-75746-4

  • Online ISBN: 978-3-642-75744-0

  • eBook Packages: Springer Book Archive

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