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Electrophysiologic intraoperative monitoring for spine procedures.

机译:脊柱手术的电生理术中监测。

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摘要

The advent of equipment capable of performing SEPs, MEPs, and EMG in a multiplexed manner and in a timely fashion brings a new level of monitoring that far exceeds the previous basic monitoring done with SEPs only. Whether this more comprehensive monitoring will result in greater protection of the nervous system awaits future analysis. In any event, monitoring of the spinal cord with SEPs is an accepted standard of care for cases that place the spinal cord at risk. Likewise, nerve root monitoring with EMG is a widely practiced form of monitoring and shows great benefit. MEPs and reflex monitoring, which address the descending pathways and the interneuronal connections, is efficacious in detecting abnormalities that may be missed by SEPs.
机译:能够以多路复用方式及时执行SEP,MEP和EMG的设备的出现带来了更高的监控水平,远远超过了仅使用SEP进行的基本监控。这种更全面的监控是否将对神经系统产生更大的保护尚待未来分析。无论如何,对于将脊髓置于危险之中的病例,使用SEP监测脊髓是公认的护理标准。同样,使用肌电图监测神经根是一种广泛使用的监测形式,并显示出很大的益处。 MEP和反射监测解决了下降路径和神经元间的连接,可有效检测SEP可能遗漏的异常。

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