Somatosensory cortical evoked potential changes after deformity correction. 1991

S A Albanese, and J A Spadaro, and J P Lubicky, and N A Henderson
Department of Orthopedic Surgery, SUNY Health Science Center, Syracuse.

The somatosensory cortical evoked potentials recorded during posterior spine fusion and instrumentation for 99 consecutive patients with idiopathic scoliosis, 18 years of age or younger, were retrospectively reviewed. The potentials were recorded from scalp electrodes while synchronously stimulating both tibial nerves near the ankles. Signal changes observed during consecutive 30-minute time intervals after deformity correction were analyzed. No changes in neurologic status were observed postoperatively. Latency values tended to remain constant on average. A small, but statistically significant, decrease in the first two interpeak amplitudes was observed during the first 30-minute interval after deformity correction. The first interpeak amplitude recovered, while the second remained statistically significantly decreased. No patient had a decrease of greater than 50% in both of the first two amplitudes, which persisted throughout the 60-minute interval immediately after deformity correction. This study demonstrated a tendency for somatosensory cortical evoked potential interpeak amplitudes to decrease during the first 30 minutes after deformity correction. There was a great deal of individual variation, including amplitude increases in many patients. There was no evidence supporting an association between dramatic, sustained amplitude decreases and uncomplicated deformity correction. The value of thoroughly evaluating somatosensory cortical evoked potential signal trends while making intraoperative decisions is emphasized.

UI MeSH Term Description Entries
D005073 Evoked Potentials, Somatosensory The electric response evoked in the CEREBRAL CORTEX by stimulation along AFFERENT PATHWAYS from PERIPHERAL NERVES to CEREBRUM. Somatosensory Evoked Potentials,Evoked Potential, Somatosensory,Somatosensory Evoked Potential
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001174 Arthrodesis The surgical fixation of a joint by a procedure designed to accomplish fusion of the joint surfaces by promoting the proliferation of bone cells. (Dorland, 28th ed) Arthrodeses
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D012600 Scoliosis An appreciable lateral deviation in the normally straight vertical line of the spine. (Dorland, 27th ed) Scolioses
D013116 Spinal Cord A cylindrical column of tissue that lies within the vertebral canal. It is composed of WHITE MATTER and GRAY MATTER. Coccygeal Cord,Conus Medullaris,Conus Terminalis,Lumbar Cord,Medulla Spinalis,Myelon,Sacral Cord,Thoracic Cord,Coccygeal Cords,Conus Medullari,Conus Terminali,Cord, Coccygeal,Cord, Lumbar,Cord, Sacral,Cord, Spinal,Cord, Thoracic,Cords, Coccygeal,Cords, Lumbar,Cords, Sacral,Cords, Spinal,Cords, Thoracic,Lumbar Cords,Medulla Spinali,Medullari, Conus,Medullaris, Conus,Myelons,Sacral Cords,Spinal Cords,Spinali, Medulla,Spinalis, Medulla,Terminali, Conus,Terminalis, Conus,Thoracic Cords

Related Publications

S A Albanese, and J A Spadaro, and J P Lubicky, and N A Henderson
April 1971, Proceedings of the Society for Experimental Biology and Medicine. Society for Experimental Biology and Medicine (New York, N.Y.),
S A Albanese, and J A Spadaro, and J P Lubicky, and N A Henderson
November 2002, Archives of physical medicine and rehabilitation,
S A Albanese, and J A Spadaro, and J P Lubicky, and N A Henderson
March 1989, Archives of physical medicine and rehabilitation,
S A Albanese, and J A Spadaro, and J P Lubicky, and N A Henderson
March 1989, The International journal of neuroscience,
S A Albanese, and J A Spadaro, and J P Lubicky, and N A Henderson
December 2003, Anesthesia and analgesia,
S A Albanese, and J A Spadaro, and J P Lubicky, and N A Henderson
September 2020, Critical care medicine,
S A Albanese, and J A Spadaro, and J P Lubicky, and N A Henderson
February 2010, Muscle & nerve,
S A Albanese, and J A Spadaro, and J P Lubicky, and N A Henderson
January 2012, Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference,
S A Albanese, and J A Spadaro, and J P Lubicky, and N A Henderson
March 2006, Masui. The Japanese journal of anesthesiology,
S A Albanese, and J A Spadaro, and J P Lubicky, and N A Henderson
March 1978, Experimental neurology,
Copied contents to your clipboard!