Shujie Wang1, Yuan Tian2, Xiangquan Lin3, Zhifu Ren4, Yu Zhao1, Jiliang Zhai1, Xiaojuan Zhang5, Yanwei Zhao5, Yingyue Dong5, Congran Zhao6, Ye Tian7. 1. Department of Orthopedics, Peking Union Medical College Hospital, 1 Shuai Fu Yuan, Beijing, 100730, People's Republic of China. 2. Department of Anesthesia, Peking Union Medical College Hospital, 1 Shuai Fu Yuan, Beijing, 100730, People's Republic of China. 3. Department of Orthopedics, Fuzhou Second Hospital Affiliated to Xiamen University, Fuzhou, 350007, Fujian, People's Republic of China. 4. Department of Spine Surgery, Weifang Hospital of Traditional Chinese Medicine, Weifang, 261000, People's Republic of China. 5. Nursing Department, Peking Union Medical College Hospital, 1 Shuai Fu Yuan, Beijing, 100730, People's Republic of China. 6. Department of Orthopedics, Longnan Hospital of Daqing, Daqing, 163000, Hei Longjiang, People's Republic of China. 7. Department of Orthopedics, Peking Union Medical College Hospital, 1 Shuai Fu Yuan, Beijing, 100730, People's Republic of China. pumchtianye@163.com.
Abstract
PURPOSE: The objective is to compare the intraoperative monitoring (IOM) outcomes between degenerative cervical and thoracic spine decompression surgery. METHOD: A total of 97 patients with cervical compression myelopathy (CCM) and 75 patients with thoracic compression myelopathy (TCM) were prospectively collected between December 2012 and June 2015 in our spine center. Somatosensory-evoked potentials (SSEP) and motor-evoked potentials (MEP) were used for IOM. The postoperative neurologic status of each patient was assessed immediately after surgery. And the IOM and neurological outcomes were mainly analyzed in this study. RESULTS: Under the same alarm criteria, the IOM changes present significant difference between the cervical and thoracic surgery. During the patients with monitoring alerts, the MEPs usually manifest as sudden loss in TCM whereas the gradual loss in CCM. And there were three permanent neurologic injuries in the thoracic cases, but none in cervical cases. CONCLUSION: The IOM loss between CCM and TCM patients present obvious difference and the sudden MEPs loss associated with spinal decompression need to be taken seriously especially in TCM.
PURPOSE: The objective is to compare the intraoperative monitoring (IOM) outcomes between degenerative cervical and thoracic spine decompression surgery. METHOD: A total of 97 patients with cervical compression myelopathy (CCM) and 75 patients with thoracic compression myelopathy (TCM) were prospectively collected between December 2012 and June 2015 in our spine center. Somatosensory-evoked potentials (SSEP) and motor-evoked potentials (MEP) were used for IOM. The postoperative neurologic status of each patient was assessed immediately after surgery. And the IOM and neurological outcomes were mainly analyzed in this study. RESULTS: Under the same alarm criteria, the IOM changes present significant difference between the cervical and thoracic surgery. During the patients with monitoring alerts, the MEPs usually manifest as sudden loss in TCM whereas the gradual loss in CCM. And there were three permanent neurologic injuries in the thoracic cases, but none in cervical cases. CONCLUSION: The IOM loss between CCM and TCM patients present obvious difference and the sudden MEPs loss associated with spinal decompression need to be taken seriously especially in TCM.
Authors: Nikolay L Martirosyan; Jeanne S Feuerstein; Nicholas Theodore; Daniel D Cavalcanti; Robert F Spetzler; Mark C Preul Journal: J Neurosurg Spine Date: 2011-06-10
Authors: D Kojo Hamilton; Justin S Smith; Charles A Sansur; Steven D Glassman; Christopher P Ames; Sigurd H Berven; David W Polly; Joseph H Perra; Dennis Raymond Knapp; Oheneba Boachie-Adjei; Richard E McCarthy; Christopher I Shaffrey Journal: Spine (Phila Pa 1976) Date: 2011-07-01 Impact factor: 3.468