Abstract
A serious complication that can follow vertebral column stabilization surgery is the appearance of spinal cord lesions1,2. Without considering surgical errors, these lesions can be due to an impairment of the spinal cord blood supply caused by mechanical stress, e.g. vertebral distraction by the Harrington or Cotrel-Debousset (CD.) rods, or a combination of this with anaesthetics. At an early stage this kind of impairment can be reversible if prompt action is taken.
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References
MacEwen GD, Bunnell WP, Sriram K. Acute neurological complications in the treatment of scoliosis. A report of the Scoliosis Research Society. J Bone Joint Surg (Am). 1975;57: 404–408.
Michel F, Rubini J, Grand C, Bérard J, Koler R, Michel CR. Les complications neurologique de la chirurgie des déformations du rachis. Rev de Chir Orthopédique. 1992;78:90–100.
Schieppati M. The Hoffmann reflex: a means of assessing spinal reflex excitability and its descending control in man. Progress in Neurobiology. 1987;28:345–376.
Cadilhac J, Georgesco M, Benezech J, Duday H, Dapres G. Potential évoqué cérébral somesthésique et réflexe d‘Hoffmann dans les lésions médullaires aiguës. Intérêt physiopathologique et pronostic. Electroenceph clin Neurophysiol. 1977;43:160–167.
Crenna P, Conci F, Boselli L. Changes in spinal reflex excitability in brain-dead humans. Electroenceph clin Neurophysiol. 1989;73:206–214.
Delwaide PJ, Crenna P. Cutaneous nerve stimulation and motoneural excitability. II: evidence for non-segmental influences. J Neurol Neurosurg Psychiatry. 1984;47:190–196.
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© 1994 Springer Science+Business Media Dordrecht
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Bracchi, F., Grossi, P.A., Trovati, L., Vigano, P. (1994). H-reflex spinal cord monitoring during vertebral column stabilization surgery. 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_36
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DOI: https://doi.org/10.1007/978-94-011-1416-5_36
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-4619-0
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