INTRAOPERATIVE DIAGNOSIS OF NEUROLOGICAL COMPLICATIONS IN SURGERY OF SEVERE SCOLIOSIS: REPORT OF CLINICAL CASES
https://doi.org/10.14531/ss2018.2.7-11
Abstract
Clinical observations of 13- and 15-year-old patients with severe (118° and 133°) idiopathic scoliosis, subjected to operative correction with the use of segmental instrumentation are presented. Intraoperative monitoring of the spinal cord function was performed by recording motor potentials of the brain and skin thermometry from the lower limbs (authors’ technique). During the operation, there was a gradual decrease in potentials in one case and sharp in another, with no changes in cutaneous temperature. Based on the data of skin thermometry, surgeons decided not to remove the implant and to bring the operation to completion in both cases. In the postoperative period, neurological complications were not revealed. The conclusion is made about the advisability of including the skin thermometry in a complex of intraoperative monitoring of spinal cord function in patients with spine deformities.
About the Authors
A. S. Vasyura
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
Aleksandr Sergeyevich Vasyura - MD, PhD, senior researcher, traumatologist-orthopedist in the Department of Children and Adolescent Spine Surgery.
Frunze str., 17, 630091, Novosibirsk
M. V. Mikhaylovskiy
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
Mikhail Vitalievich Mikhaylovskiy - DMSc, Prof., Head of Department of Children and Adolescent Spine Surgery.
Frunze str., 17, 630091, Novosibirsk
V. V. Novikov
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
Vyacheslav Viktorovich Novikov - DMSc, senior researcher, traumatologist-orthopedist in the Department of Children and Adolescent Spine Surgery, head of functional unit of children and adolescent spine surgery.
Frunze str., 17, 630091, Novosibirsk
E. V. Chesheva
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
Elena Vladimirovna Chesheva – neurophysiologist.
Frunze str., 17, 630091, Novosibirsk
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Review
For citations:
Vasyura A.S., Mikhaylovskiy M.V., Novikov V.V., Chesheva E.V. INTRAOPERATIVE DIAGNOSIS OF NEUROLOGICAL COMPLICATIONS IN SURGERY OF SEVERE SCOLIOSIS: REPORT OF CLINICAL CASES. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2018;15(2):7-11. https://doi.org/10.14531/ss2018.2.7-11
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