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Indications for the use of evoked potentials in spinal surgery — review of the Nottingham experience and current use

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Abstract

Maintenance of the functional integrity of the spinal cord is a major concern for every spine surgeon. Severe neurologic complications may occur following surgical correction of spinal deformity and recovery is proportional to the speed of removal of the instrumentation1,2. In the past, a careful physical examination in the recovery room was the earliest warning of cord injury. During the last two decades, gross physical examination of the partially awakened patient during the operation — the wake-up test — has been widely used. The desire of many researchers and clinicians to find a better method of evaluating cord function intraoperatively, has resulted in renewed interest in the techniques of evoked response monitoring.

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References

  1. MacEwen GD, Bunnel WP, Sriram K. Acute neurological complications in the treatment of scoliosis. A report of the SRS. J. Bone Joint Surg. 1975;57A:404–408.

    Google Scholar 

  2. Dawson EG, Sherman JE, Kanim LE, Nuwer MR. Spinal cord monitoring: results of the scoliosis research society and the European spinal deformity society survey. Spine. 1991;16(Suppl 8):361–364.

    Google Scholar 

  3. Dawson GD. Cerebral responses to electrical stimulation of peripheral nerve in man. J Neurol Neurosurg Psychiatr. 1947;10:134–140.

    Article  PubMed  CAS  Google Scholar 

  4. Bunch WH, Scarff TB, Trimble J. Spinal cord monitoring — current concepts review. J Bone Joint Surg. 1983;65A:707–710.

    Google Scholar 

  5. Ben-David B. Spinal cord monitoring. Orthop Clin North Am. 1988;19:427–448.

    PubMed  CAS  Google Scholar 

  6. Evoked Potentials Committee of the American Electroencephalographic Society. Guidelines for intraoperative monitoring of sensory evoked potentials. J Clin Neurophysiol. 1987;4: 397–416.

    Article  Google Scholar 

  7. Lubicky JP, Spadarao JA, Yuan HA, Frederickson BF, Henderson N. Variability of somatosensory cortical evoked potential monitoring during spinal surgery. Spine. 1989;14:790–798.

    Article  PubMed  CAS  Google Scholar 

  8. Nash CL, Brown RH. Current concepts review: Spinal Cord Monitoring. J Bone Joint Surg 1989;71A:627–630.

    Google Scholar 

  9. Engler GL, Spielholz NI, Bernhard WN, Danzinger F, Merkin BA, Wolff EE. Somatosensory evoked potentials during Harrington instrumentation for scoliosis. J Bone Joint Surg. 1978;60A:528–532.

    Google Scholar 

  10. Gollehon D, Kahanovitz N, Happel LT. Temperature effects on feline cortical and spinal evoked potentials. Spine. 1983;8:443–446.

    Article  PubMed  CAS  Google Scholar 

  11. Grundy BL. Intraoperative monitoring of sensory evoked potentials. Anaesthesiology. 1983;58:72–87.

    Article  CAS  Google Scholar 

  12. Szalay EA, Carollo JJ, Roach JW. Sensitivity of Spinal Cord Monitoring to intraoperative Events. J Ped Orthop. 1986;6:437–441.

    Article  CAS  Google Scholar 

  13. Lesser RP, Raudzens P, Lüders H et al. Postoperative neurological deficits may occur despite unchanged intraoperative somatosensory evoked potentials. Ann Neurol. 1986;19:22–25.

    Article  PubMed  CAS  Google Scholar 

  14. Dinner DS, Shields RW, Lüders H. Intraoperative spinal cord monitoring. In: Rothman RH and Simeone FA, (eds). The Spine, 3rd Edition, Philadelphia-London: W.B. Saunders; 1992:1801–1814.

    Google Scholar 

  15. Dunn C, Jardine AD, Smith NJ, Webb JK, Yeomans PM. Electrophysiological monitoring of spinal cord function during scoliosis surgery. Electroencephalogr Clin Neurophysiol. 1984;58:15P.

    Google Scholar 

  16. Hamilton A, Webb JK. The role of vertebrectomy in correction of spinal deformity. ESDS Meeting, Lyon, France. 1992.

    Google Scholar 

  17. Aminoff MJ, Goodin DS, Barbaro NM et al. Dermatomal somatosensory evoked potentials in unilateral lumbosacral radiculopathy. Ann Neurol. 1985;17:171–176.

    Article  PubMed  CAS  Google Scholar 

  18. Machida M, Asai T, Sato K et al. New approach for diagnosis in herniated lumbosacral disc: Dermatomal somatosensory evoked potentials (DSSEPs). Spine. 1986;11:380–384.

    Article  PubMed  CAS  Google Scholar 

  19. Herron LD, Trippi AC, Gonyeau M. Intraoperative use of dermatomal somatosensory evoked potentials in lumbar stenosis surgery. Spine. 1987;12:379–383.

    Article  PubMed  CAS  Google Scholar 

  20. Nash CL. Spinal cord monitoring. In Orthopaedic Knowledge Update No 3, AAOS; 1990:227–234.

    Google Scholar 

  21. Forbes HJ, Allen PW, Waller CS, Jones SJ, Edgar MA, Webb PJ, Ransford AO. Spinal Cord Monitoring in scoliosis surgery. J Bone Joint Surgery. 1991;73B:487–491.

    Google Scholar 

  22. Perlik S, Fisher MA, Patel DV et al. On the usefulness of somatosensory evoked potentials for the evaluation of lower back pain. Arch Neurol. 1986;43:907–913.

    Article  PubMed  CAS  Google Scholar 

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© 1994 Springer Science+Business Media Dordrecht

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Papastefanou, S.L., Webb, J.K. (1994). Indications for the use of evoked potentials in spinal surgery — review of the Nottingham experience and current use. In: Jones, S.J., Hetreed, M., Boyd, S., Smith, N.J. (eds) Handbook of Spinal Cord Monitoring. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-1416-5_3

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  • DOI: https://doi.org/10.1007/978-94-011-1416-5_3

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-4619-0

  • Online ISBN: 978-94-011-1416-5

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