Revisión

Protocol for intraoperative neurophysiological spinal cord monitoring

C. Franco-Carcedo, I. Villalibre-Valderrey, M. González-Hidalgo DOI: https://doi.org/10.33588/rn.2806.98484

OPEN ACCESS

Volumen 28 | Number 06 | Nº of views of the article 6.217 | Nº of PDF downloads 704 | Article publication date 16/03/1999

Download PDF Castellano Citation Search in PubMed

Share in:

Go to another issue

ABSTRACT

INTRODUCTION The consequences derived from medullar harm caused during several spinal cord surgical interventions can often be catastrophic for the patient, even more taking into consideration that many of them are young. DEVELOPMENT. This problem is observed specially at interventions of spinal malformations (kyphoscoliosis), but also during other surgical techniques like fractures, degenerations, spinal tumors and aortic lesions. The use of somatosensory evoked potentials (SEP) began at late 70’s, as a method to monitorize spinal cord function during surgery; years later, motor evoked potentials (MEP) joined this option, giving us direct information about the functioning of posterior spinothalamic tract (posterior column) and lateral corticospinal tract (pyramidal tract), respectively. This has motivated that, although the degree of surgical difficulty and complexity of spinal instrumentation have raised, the actual percentage of neurological complications derived from them has decreased.

CONCLUSIONS This article describes the intraoperative spinal cord monitoring protocol followed at Hospital Clínico San Carlos of Madrid, Spain, which includes the making of SEP and MEP, the latest according to the translaminar stimulation technique KeywordsIntraoperative monitoring Motor evoked potentials Somatosensory evoked potentials Spinal cord CategoriesTécnicas exploratorias

FULL TEXT (solo disponible en lengua castellana / Only available in Spanish)

Acceso directo al último número

Último Podcast

Revisión

Protocol for intraoperative neurophysiological spinal cord monitoring