지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 102 - 107 (6page)
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초록· 키워드
오류제보하기
Background and Purpose Intraoperative monitoring of the motor pathways is a routine procedure for ensuring the integrity of descending motor tracts during spinal surgery. Intraoperative motor evoked potential improvement (MEPI) may be associated with a better postsurgical outcome in cervical spondylotic myelopathy (CSM). To compare the efficacy of two cortical stimulation parameters in eliciting MEPI intraoperatively during CSM surgery. Methods We studied 69 patients who underwent decompression surgery for CSM over a 9-month period using either 5 (Group 1) or 9 (Group 2) stimuli. MEPI was defined as the increase in the amplitude of MEPs from baseline at the end of CSM surgery just prior to skin closure. Results An MEPI of 100% from baseline was observed in 10 patients (53%) in Group 1 and 36 patients (72%) in Group 2. Comparisons of the baseline mean MEP amplitudes of muscles bilaterally between Groups 1 and 2 did not reveal any significant differences. Supramaximal stimulation showed that a significantly higher mean intensity was required for Group 1 than for Group 2. Conclusions MEPI is observed in a much larger proportion of cervical decompression surgery cases than previously thought. Intraoperative MEPI with longer-train cortical stimulation may reflect adequacy of decompression and provide additional guidance for the surgical procedure.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Montgomery DM / 1992 / Cervical spondylotic myelopathy. Clinical syndrome and natural history / Orthop Clin North Am 23:487~493
Hochman M / 2005 / Cervical spondylotic myelopathy : a review / Internet J Neurol 4:24~42
Dong Y / 2008 / Compensatory cerebral adaptations before and evolving changes after surgical decompression in cervical spondylotic myelopathy / J Neurosurg Spine 9:538~551
Holly LT / 2007 / Cortical reorganization in patients with cervical spondylotic myelopathy / J Neurosurg Spine 6:544~551
Green A / 2015 / Cortical reorganization is associated with surgical decompression of cervical spondylotic myelopathy / Neural Plast 2015:389531
Hochman M / 2005 / Cervical spondylotic myelopathy : a review / Internet J Neurol 4:24~42
Dong Y / 2008 / Compensatory cerebral adaptations before and evolving changes after surgical decompression in cervical spondylotic myelopathy / J Neurosurg Spine 9:538~551
Holly LT / 2007 / Cortical reorganization in patients with cervical spondylotic myelopathy / J Neurosurg Spine 6:544~551
Green A / 2015 / Cortical reorganization is associated with surgical decompression of cervical spondylotic myelopathy / Neural Plast 2015:389531
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