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首页> 外文期刊>Techniques in Neurosurgery >Intraoperative Neurophysiological Monitoring of Surgeries at the Cervical Spine
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Intraoperative Neurophysiological Monitoring of Surgeries at the Cervical Spine

机译：颈椎手术的术中神经生理监测

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摘要

Intraoperative injury to the spinal cord is an infrequent but potentially catastrophic complication of cervical spine surgery. To reduce the incidence of major neurologic morbidity, neurophysiological and electromyographic recordings have been made intraoperatively. Although definitive prospective studies have not been conducted and probably will not be undertaken, findings from retrospective studies and case reports indicate that intraoperative monitoring (IOM) has helped surgeons to reduce the incidence of catastrophic neurologic complications. Many factors need to be considered when determining the usefulness of IOM, including estimated rate of neurologic injury for a particular procedure, the cervical level of the surgery, preexisting neurologic deficits of the patient, and the sensitivity of the monitoring procedure to the tissue that is at risk.
机译：脊髓的术中损伤是颈椎手术的一种罕见但潜在的灾难性并发症。为了减少主要神经系统疾病的发生率，术中进行了神经生理学和肌电图记录。尽管尚未进行明确的前瞻性研究，而且可能不会进行，但回顾性研究和病例报告的结果表明，术中监测（IOM）已帮助外科医生减少了灾难性神经系统并发症的发生率。确定IOM的有效性时，需要考虑许多因素，包括特定程序的神经损伤估计率，手术的宫颈水平，患者先前存在的神经功能缺损以及监测程序对组织的敏感性。有风险。

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