| THE APPLICATION OF CORTICAL SOMATOSENSORY EVOKED POTENTIAL MONITORING IN CHILD SCOLIOSIS SURGERY |
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| 作者姓名： | 白斌 王坤正 同志勤 刘文科 宋金辉 袁国莲 |
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| 作者单位： | Department of Orthopaedics，Department of Orthopaedics，Department of Orthopaedics，Department of Surgery，Department of Orthopaedics，Department of Orthopaedics Second Hospital of Xi'an Jiaotong University，Xi'an 710004，China，Second Hospital of Xi'an Jiaotong University，Xi'an 710004，China，Second Hospital of Xi'an Jiaotong University，Xi'an 710004，China，Qinghai Oil Field Hospital，Dunhuang736202，China，Second Hospital of Xi'an Jiaotong University，Xi'an 710004，China，Second Hospital of Xi'an Jiaotong University，Xi'an 710004，China |
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| 基金项目： | ThisworkwassupportedbytheNaturalScienceFoundationofShaanxiProvince ,China(No .99sm 60 ) |
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| 摘 要： | Scoliosisisoneofthecommonestdeformityinchildren .Itaffectsnotonlythebeautybutalsothedevelopmentofbodyandmind .Inthenearyears,thecorticalsomatosensoryevokedpotential (CSEP)monitoringwereusedtodetectthespinalinjuryinchildscoliosissurgeryinourhospitalandwegotagoodresult .MATERIALSANDMETHODS1 GeneralmaterialTherewerefifty onechildrenwithscoliosisinthisclinicalstudy ,includingforty twocaseswithidiopathicscoliosisandninecaseswithcongenitalscoliosis .Theiragesrangedfrom 4 .1yearsto 12 .3ye…
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THE APPLICATION OF CORTICAL SOMATOSENSORY EVOKED POTENTIAL MONITORING IN CHILD SCOLIOSIS SURGERY |
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| Bai Bin,Wang Kunzheng,Tong Zhiqin,Liu Wenke ,Song Jinhui,Yuan Guolian.THE APPLICATION OF CORTICAL SOMATOSENSORY EVOKED POTENTIAL MONITORING IN CHILD SCOLIOSIS SURGERY[J].Academic Journal of Xi’an Jiaotong University,2003,15(1). |
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| Authors: | Bai Bin Wang Kunzheng Tong Zhiqin Liu Wenke Song Jinhui Yuan Guolian |
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| Institution: | 1. Department of Orthopaedics, Second Hospital of Xi'an Jiaotong University, Xi'an 710004, China
2. Department of Surgery, Qinghai Oil Field Hospital, Dunhuang 736202,China |
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| Abstract: | Objective To study the application value of cortical somatosensory evoked potential (CSEP) monitoring in child scoliosis surgery. Methods In surgeries of fifty one children with scoliosis, the CSEP changes were continuously recorded by evoked potential instrument. The operations were performed under the guidance of CSEP monitoring. Results Before propping and reshaping, the latencies and amplitudes in all cases had no change. During propping and reshaping, the latencies of all cases were slowly elongated, but all less than 10 percent. The amplitudes in 15 cases dropped to 55 percent, but returned to 80 percent 3-8 minutes after stopping the operations or partially loosening the propped rods at once. The amplitude in one case suddenly dropped to 37 percent and returned to 54 percent half an hour after loosening the propped rods at once and recovered to the normal range one day after operation. All cases got ideal orthopedic results and no one had neurological complications post operation. Conclusion CSEP can accurately monitor the spinal injury and has a great value in preventing the spinal injury in child scoliosis surgery. |
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| Keywords: | child scoliosis evoked potential intraoperative monitoring |
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