Monitoring of lumbosacral nerve roots during spinal instrumentation.

Abstract:

:A technique is described for intraoperative, multimodality electrophysiologic monitoring of the spinal cord and lumbosacral nerve roots (cauda equina). Simultaneous monitoring with the techniques of electromyography, compound muscle action potentials, and somatosensory evoked potentials is found to provide highly useful information to the surgeon during lumbar spine instrumentations. Compound muscle action potential recordings are used to identify nerve roots in the lumbosacral region, especially when visual identification of the nerve is hindered by scarring or distortion of the anatomy. Electromyography continuously monitors nerve roots at risk by revealing neurotonic discharges when the nerve roots are irritated during surgical dissection or placement of the fixation device. The early warning provided by this technique enables the surgeon to avoid irreversible neurologic damage.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Hormes JT,Chappuis JL

doi

10.1097/00007632-199310001-00023

subject

Has Abstract

pub_date

1993-10-15 00:00:00

pages

2059-62

issue

14

eissn

0362-2436

issn

1528-1159

journal_volume

18

pub_type

杂志文章

相关文献

SPINE文献大全
  • Roentgenographic findings of the cervical spine in asymptomatic people.

    abstract::The purpose of this study was to determine the incidence and severity of degenerative changes seen on lateral roentgenograms in 200 asymptomatic men and women in five age groups with an age range of 20-65 years and to determine the normal values of cervical lordosis and spinal canal sagittal diameters and their relati...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198607000-00003

    authors: Gore DR,Sepic SB,Gardner GM

    更新日期:1986-07-01 00:00:00

  • Thoracic microendoscopic discectomy: a human cadaver study.

    abstract:STUDY DESIGN:Feasibility analysis of percutaneous posterolateral thoracic microendoscopic discectomy in a human cadaver model. OBJECTIVE:To describe a new, minimally invasive, posterolateral approach to the thoracic spine for the treatment of disc herniations. SUMMARY OF BACKGROUND:Thoracoscopic discectomy offers sur...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000162275.95579.ee

    authors: Isaacs RE,Podichetty VK,Sandhu FA,Santiago P,Spears JD,Aaronson O,Kelly K,Hrubes M,Fessler RG

    更新日期:2005-05-15 00:00:00

  • Cell therapy using articular chondrocytes overexpressing BMP-7 or BMP-10 in a rabbit disc organ culture model.

    abstract:STUDY DESIGN:Rabbit knee articular chondrocytes overexpressing human growth factors were injected into cultured intervertebral disc explants. Survival of the injected cells and accumulation of extracellular matrix were assessed. OBJECTIVE:To define the utility of cell-based gene delivery approach for repair of the int...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31816b1f38

    authors: Zhang Y,Phillips FM,Thonar EJ,Oegema T,An HS,Roman-Blas JA,He TC,Anderson DG

    更新日期:2008-04-15 00:00:00

  • Highly Cited Works in Spinal Disorders: The Top 100 Most Cited Papers Published in Spine Journals.

    abstract:STUDY DESIGN:Bibliometric analysis. OBJECTIVE:To identify, and summarize the key findings of, the top 100 most highly cited works published in spinal disorder topic-specific journals. SUMMARY OF BACKGROUND DATA:There is an abundance of published articles pertaining to spine surgery and spinal disorders. The number of...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0000000000002735

    authors: Badhiwala JH,Nassiri F,Witiw CD,Mansouri A,Alotaibi N,Eagles M,Almenawer SA,da Costa L,Wilson JR,Fehlings MG

    更新日期:2018-12-15 00:00:00

  • The relationship between the cross-sectional area of the cauda equina and the preoperative symptoms in central lumbar spinal stenosis.

    abstract:STUDY DESIGN:A cross-sectional registry and imaging cohort study. OBJECTIVES:To study the association between typical symptoms and signs of central spinal stenosis and the minimum cross-sectional area (mCSA) of the cauda equina in patients subsequently undergoing surgery. SUMMARY OF BACKGROUND DATA:Relations between ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318060a5f5

    authors: Ogikubo O,Forsberg L,Hansson T

    更新日期:2007-06-01 00:00:00

  • The course of low back pain from adolescence to adulthood: eight-year follow-up of 9600 twins.

    abstract:STUDY DESIGN:Prospective study with 8-year follow-up. OBJECTIVE:To describe the evolution of low back pain from adolescence into adulthood. SUMMARY OF BACKGROUND DATA:High prevalence rates of low back pain among children and adolescents have been demonstrated in several studies, and it has been theorized that low bac...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000199958.04073.d9

    authors: Hestbaek L,Leboeuf-Yde C,Kyvik KO,Manniche C

    更新日期:2006-02-15 00:00:00

  • Late operative site pain with isola posterior instrumentation requiring implant removal: infection or metal reaction?

    abstract:OBJECTIVES:To elucidate the cause of late operative site pain in six cases of scoliosis managed with Isola posterior instrumentation that required removal of the implants. METHOD:Microbiologic examination of wound swabs and enriched culture of operative tissue specimens was undertaken in all cases. Histologic study of...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200103010-00027

    authors: Gaine WJ,Andrew SM,Chadwick P,Cooke E,Williamson JB

    更新日期:2001-03-01 00:00:00

  • Anterior decompression and stabilization of thoracolumbar burst fractures by the use of the Slot-Zielke device.

    abstract::Between July 1983 and November 1986, 29 patients with thoracolumbar burst fractures underwent a one-stage operation consisting of anterior decompression by subtotal vertebrectomy, reduction, and stabilization with the Slot-Zielke device. The mean follow-up was 3.1 years. Most patients with incomplete neurologic lesion...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199101000-00013

    authors: Been HD

    更新日期:1991-01-01 00:00:00

  • Molecular interactions between human cartilaginous endplates and nucleus pulposus cells: a preliminary investigation.

    abstract:STUDY DESIGN:Conditioned media (CM) of cartilaginous endplates (CEPs) of intervertebral discs were analyzed in a bioassay with regard to their influence on matrix turnover and inflammatory factors on nucleus pulposus (NP) cells of the same patient. CEP tissue underwent further histological and ultrastructural analysis....

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000372

    authors: Neidlinger-Wilke C,Boldt A,Brochhausen C,Galbusera F,Carstens C,Copf F,Schultheiss M,Lazary A,Brayda-Bruno M,Ignatius A,Wilke HJ

    更新日期:2014-08-01 00:00:00

  • Smokers show less improvement than nonsmokers two years after surgery for lumbar spinal stenosis: a study of 4555 patients from the Swedish spine register.

    abstract:STUDY DESIGN:A cohort study based on the Swedish Spine Register. OBJECTIVE:To determine the relation between smoking status and disability after surgical treatment for lumbar spinal stenosis. SUMMARY OF BACKGROUND DATA:Smoking and nicotine have been shown to inhibit lumbar spinal fusion and promote disc degeneration....

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181e92b36

    authors: Sandén B,Försth P,Michaëlsson K

    更新日期:2011-06-01 00:00:00

  • Urgent surgical decompression compared to methylprednisolone for the treatment of acute spinal cord injury: a randomized prospective study in beagle dogs.

    abstract:STUDY DESIGN:Experimental dog model of acute spinal cord injury. OBJECTIVE:To compare the relative value of methylprednisolone, surgical decompression, or both for the treatment of traumatic spinal cord injury. SUMMARY OF BACKGROUND DATA:Acute spinal cord injury results from both primary damage to the spinal cord at ...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0b013e31818786db

    authors: Rabinowitz RS,Eck JC,Harper CM Jr,Larson DR,Jimenez MA,Parisi JE,Friedman JA,Yaszemski MJ,Currier BL

    更新日期:2008-10-01 00:00:00

  • Accuracy of Patient-Specific 3D-Printed Drill Guides for Pedicle and Lateral Mass Screw Insertion: An Analysis of 76 Cervical and Thoracic Screw Trajectories.

    abstract:STUDY DESIGN:Single-center retrospective case series. OBJECTIVE:The purpose of this study was to assess the safety and accuracy of three-dimensional (3D)-printed individualized drill guides for pedicle and lateral mass screw insertion in the cervical and upper-thoracic region, by comparing the preoperative 3D surgical...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003747

    authors: Pijpker PAJ,Kraeima J,Witjes MJH,Oterdoom DLM,Vergeer RA,Coppes MH,Groen RJM,Kuijlen JMA

    更新日期:2021-02-01 00:00:00

  • Radiologic evaluation of adjacent superior segment facet joint violation following transpedicular instrumentation of the lumbar spine.

    abstract:STUDY DESIGN:The location of pedicle screws in relation to adjacent superior segment facet joints in 106 patients after lumbar spinal fusion was assessed using computed tomography and plain radiographs. OBJECTIVES:To document the incidence of adjacent superior segment facet joint violation following transpedicular ins...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.BRS.0000042361.93572.74

    authors: Shah RR,Mohammed S,Saifuddin A,Taylor BA

    更新日期:2003-02-01 00:00:00

  • Human intervertebral disc cells promote nerve growth over substrata of human intervertebral disc aggrecan.

    abstract:STUDY DESIGN:Coculture assays of the migration and interaction of human intervertebral disc cells and chick sensory nerves on alternate substrata of collagen and aggrecan. OBJECTIVE:To examine the effects of aggrecan on disc cell migration, how disc cells and sensory nerves interact, and whether disc cells affect prev...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000217669.04903.61

    authors: Johnson WE,Sivan S,Wright KT,Eisenstein SM,Maroudas A,Roberts S

    更新日期:2006-05-15 00:00:00

  • External Validation of the Adult Spinal Deformity (ASD) Frailty Index (ASD-FI) in the Scoli-RISK-1 Patient Database.

    abstract:STUDY DESIGN:Analysis of a prospective multicenter database. OBJECTIVE:To assess the ability of the recently created Adult Spinal Deformity (ASD) Frailty Index (ASD-FI) to predict odds of major complications and length of hospital stay for patients who had more severe preoperative deformity and underwent more invasive...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002717

    authors: Miller EK,Lenke LG,Neuman BJ,Sciubba DM,Kebaish KM,Smith JS,Qiu Y,Dahl BT,Pellisé F,Matsuyama Y,Carreon LY,Fehlings MG,Cheung KM,Lewis S,Dekutoski MB,Schwab FJ,Boachie-Adjei O,Mehdian H,Bess S,Shaffrey CI,Ames CP

    更新日期:2018-10-15 00:00:00

  • Spinal manifestation of metastasizing leiomyosarcoma.

    abstract:STUDY DESIGN:Case report. OBJECTIVE:To provide additional information on possible relations between uterine and spinal manifestations of leiomyosarcoma. SUMMARY OF BACKGROUND DATA:Spinal metastases and primary spinal manifestation of leiomyosarcoma and other malignant smooth muscle tumors are rarely observed. METHOD...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199905150-00011

    authors: Nanassis K,Alexiadou-Rudolf C,Tsitsopoulos P

    更新日期:1999-05-15 00:00:00

  • Craniovertebral tuberculosis: a retrospective review of 13 cases managed conservatively.

    abstract:STUDY DESIGN:Retrospective review of 13 cases with craniovertebral tuberculosis treated conservatively. OBJECTIVE:To evaluate the results of conservative treatment of craniovertebral tuberculosis and compare with the literature. SUMMARY OF BACKGROUND DATA:Craniovertebral tuberculosis is a rare entity even in endemic ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318074d41e

    authors: Chadha M,Agarwal A,Singh AP

    更新日期:2007-07-01 00:00:00

  • Randomized, controlled, multicenter, clinical trial comparing BRYAN cervical disc arthroplasty with anterior cervical decompression and fusion in China.

    abstract:STUDY DESIGN:Prospective, randomized, controlled, multicenter clinical trial. OBJECTIVE:To compare outcomes of cervical disc arthroplasty with those of anterior cervical decompression and fusion (ACDF) in a Chinese population. SUMMARY OF BACKGROUND DATA:Cervical disc arthroplasty has been found to be superior to ACDF...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/BRS.0b013e31822699fa

    authors: Zhang X,Zhang X,Chen C,Zhang Y,Wang Z,Wang B,Yan W,Li M,Yuan W,Wang Y

    更新日期:2012-03-15 00:00:00

  • American Society of Anesthesiologists' Status Association With Cost and Length of Stay in Lumbar Laminectomy and Fusion: Results From an Institutional Database.

    abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:The objective of this study was to characterize the costs associated with American Society of Anesthesiologists (ASA) class, and to determine the extent to which ASA status is a predictor of increased cost and LOS following lumbar laminectomy and fusion (LLF). SUMMAR...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003257

    authors: Bronheim RS,Caridi JM,Steinberger J,Hunter S,Neifert SN,Deutsch BC,DeMaria S Jr,Hermann L,Gal JS

    更新日期:2020-03-01 00:00:00

  • Cross-cultural adaptation, reliability, and validity of the Arabic version of neck disability index in patients with neck pain.

    abstract:STUDY DESIGN:Translation and psychometric testing. OBJECTIVE:To adapt the neck disability index (NDI) cross-culturally to Arabic language and to investigate the reliability and validity of the Arabic version of NDI in an Arabic-speaking sample with neck pain. SUMMARY OF BACKGROUND DATA:Although largely used, no previ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31828b2d09

    authors: Shaheen AA,Omar MT,Vernon H

    更新日期:2013-05-01 00:00:00

  • mRNA expression of cytokines and chemokines in herniated lumbar intervertebral discs.

    abstract:STUDY DESIGN:The mRNA expressions of cytokines and chemokines were assessed in herniated lumbar disc specimens. OBJECTIVES:To investigate whether the mRNAs of interleukin (IL)-1alpha, tumor necrosis factor (TNF)-alpha, RANTES, IL-8, IL-10, and transforming growth factor (TGF)-beta are expressed in surgically obtained ...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007632-200205010-00005

    authors: Ahn SH,Cho YW,Ahn MW,Jang SH,Sohn YK,Kim HS

    更新日期:2002-05-01 00:00:00

  • Health-related quality of life and low back pain of patients surgically treated for scoliosis after 21 years or more of follow-up: comparison among nonidiopathic scoliosis, idiopathic scoliosis, and healthy subjects.

    abstract:STUDY DESIGN:A case-control study. OBJECTIVE:To compare health-related quality of life and low back pain of healthy subjects with those of patients with nonidiopathic scoliosis (non-IS) and idiopathic scoliosis (IS) 21 years or more after surgery. SUMMARY OF BACKGROUND DATA:There have been a very small number of repo...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31825a22c2

    authors: Akazawa T,Minami S,Kotani T,Nemoto T,Koshi T,Takahashi K

    更新日期:2012-10-15 00:00:00

  • Cost-effectiveness of lumbar spine radiography in primary care patients with low back pain.

    abstract:STUDY DESIGN:Fifty-two practices in the East Midlands, United Kingdom, were included. OBJECTIVES:To test the hypothesis that referral for lumbar spine radiography is cost-effective in primary care patients with low back pain of at least 6 weeks' duration compared with usual care in which referral is not routine. SUMM...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007632-200210150-00021

    authors: Miller P,Kendrick D,Bentley E,Fielding K

    更新日期:2002-10-15 00:00:00

  • Left thoracic scoliosis configurations. Why so different?

    abstract:STUDY DESIGN:Patients in the scoliosis screening database were analyzed with respect to curve convexity, severity, and outcome, using standard statistical methods. OBJECTIVES:This study assessed whether left thoracic scoliosis is always pathologic and inquired why this is the case. SUMMARY OF BACKGROUND DATA:Left tho...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199406000-00013

    authors: Goldberg CJ,Dowling FE,Fogarty EE

    更新日期:1994-06-15 00:00:00

  • Correlation between operative outcomes of cervical compression myelopathy and mri of the spinal cord.

    abstract:STUDY DESIGN:Magnetic resonance images of cervical compression myelopathy were retrospectively analyzed in comparison with surgical outcomes. OBJECTIVES:To investigate which magnetic resonance findings in patients with cervical compression myelopathy reflect the clinical symptoms and prognosis, and to determine the ra...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200106010-00012

    authors: Morio Y,Teshima R,Nagashima H,Nawata K,Yamasaki D,Nanjo Y

    更新日期:2001-06-01 00:00:00

  • Stabilizing function of trunk flexor-extensor muscles around a neutral spine posture.

    abstract:STUDY DESIGN:This study examined the coactivation of trunk flexor and extensor muscles in healthy individuals. The experimental electromyographic data and the theoretical calculations were analyzed in the context of mechanical stability of the lumbar spine. OBJECTIVES:To test a set of hypotheses pertaining to healthy ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199710010-00003

    authors: Cholewicki J,Panjabi MM,Khachatryan A

    更新日期:1997-10-01 00:00:00

  • Matrix metalloproteinases: the clue to intervertebral disc degeneration?

    abstract:STUDY DESIGN:A review of the current literature on the role of matrix metalloproteinases in intervertebral disc degeneration. OBJECTIVE:To detail the characteristics of matrix metalloproteinases (classification, structure, substrate specificity and regulation) and to report previous studies of intervertebral discs. S...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-199807150-00021

    authors: Goupille P,Jayson MI,Valat JP,Freemont AJ

    更新日期:1998-07-15 00:00:00

  • Results of surgical treatment for degenerative cervical myelopathy: anterior cervical corpectomy and stabilization.

    abstract:STUDY DESIGN:This retrospective study involves 26 patients with degenerative cervical myelopathy who were surgically treated by anterior corpectomy, titanium mesh cage (TMC) filled with autogenous bone, and anterior plate +/- posterolateral plate and fusion. OBJECTIVES:This study was conducted to determine the indicat...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000145412.93407.c3

    authors: Sevki K,Mehmet T,Ufuk T,Azmi H,Mercan S,Erkal B

    更新日期:2004-11-15 00:00:00

  • One-stage combined posterior and anterior approaches for excising thoracolumbar and lumbar tumors: surgical and oncological outcomes.

    abstract:STUDY DESIGN:Retrospective clinical and radiologic evaluation. OBJECTIVE:To investigate the feasibility of a 1-stage combined posterior and anterior approaches for excising thoracolumbar and lumbar tumors with the patient lying in the lateral position. SUMMARY OF BACKGROUND DATA:Traditional anteroposterior approaches...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181b967ca

    authors: Hu Y,Xia Q,Ji J,Miao J

    更新日期:2010-03-01 00:00:00

  • Adolescents undergoing surgery for idiopathic scoliosis: how physical and psychological characteristics relate to patient satisfaction with the cosmetic result.

    abstract:STUDY DESIGN:Patient satisfaction with the cosmetic result of spinal fusion surgery was studied in 42 cases of adolescent idiopathic scoliosis. Neutral or dissatisfied patients were compared with satisfied patients on several physical and psychological characteristics. OBJECTIVES:To determine whether adolescents gener...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200110010-00015

    authors: Koch KD,Buchanan R,Birch JG,Morton AA,Gatchel RJ,Browne RH

    更新日期:2001-10-01 00:00:00