Feng Lei,Zhang Xuejun.Protocol selecting and technical dilemmas of intraoperative neurophysiological monitoring during corrective procedures for pediatric scoliosis[J].Journal of Clinical Pediatric Surgery,,19():93-97.[doi:10.3969/j.issn.1671-6353.2020.02.001]
Protocol selecting and technical dilemmas of intraoperative neurophysiological monitoring during corrective procedures for pediatric scoliosis
- Keywords:
- Scoliosis; Surgical Procedures; Operative; Intraoperative Neurophysiologcial Monitoring; Clinical Protocols; Child
- CLC:
- R726.8;R682.3;R338.8
- Abstract:
- The clinical types and symptoms of pediatric scoliosis vary greatly.The objective of scoliosis correction is to correct the coronal and sagittal deformities of spine,prevent the deformity from progressing and improve the appearance and function.Iatrogenic spinal cord injury has always been the most severe complication during spine-related operations.The application of intraoperative neuroelectrophysiological monitoring (IONM) technology has significantly lowered the incidence of neurological complications.It is generally accepted that during scoliosis correction,as long as spinal cord is involved,both adults and children should be monitored by neuroelectrophysiology.IONM is performed for intraoperative tracking the integrity of nervous system function in critical state by various neurophysiological techniques.Currently somatosensory evoked potentials (SSEPs),motor evoked potentials (MEPs),electromyogram (EMG) are commonly employed during orthopedic operations.And EMG includes free electromyogram (fEMG) and triggered EMG (tEMG).Here common types and correction approaches of pediatric scoliosis are discussed and the application of intraoperative nerve monitoring is explored for pediatric spine operations.
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Memo
收稿日期:2019-12-18。
基金项目:北京市医院管理局"扬帆"计划临床技术创新项目（编号：XMLX201818）
通讯作者:张学军,Email:zhang-x-j04@163.com