Document Detail


SSEP monitoring during pelvic and acetabular fracture surgery.
MedLine Citation:
PMID:  8207569     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Forty-one consecutive patients requiring surgery for pelvic or acetabular fractures were reviewed to compare the 20 patients (20 fractures) who had SSEP monitoring to the twenty-one patients (22 fractures) in whom monitoring was not available. In the unmonitored group, five patients had a preoperative neurologic deficit (three major/two minor), whereas in the monitored group there were nine patients with deficits (two major/seven minor). Intraoperatively, significant somatosensory evoked potential (SSEP) changes occurred in six of the monitored patients. In five patients the changes resolved on correction of the offending action and there was no postoperative deficit. In the remaining case, SSEP changes did not resolve and the patient awoke with a peroneal palsy. This one monitored patient with a new deficit compares with five patients with postoperative new deficits (or deteriorations) in the unmonitored group. The majority of intraoperative SSEP changes and iatrogenic deficits occurred during surgery through the ilioinguinal approach. During follow-up, the great majority of deficits resolved completely or had significant improvement.
Authors:
M R Baumgaertner; D Wegner; J Booke
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of orthopaedic trauma     Volume:  8     ISSN:  0890-5339     ISO Abbreviation:  J Orthop Trauma     Publication Date:  1994  
Date Detail:
Created Date:  1994-07-14     Completed Date:  1994-07-14     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8807705     Medline TA:  J Orthop Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  127-33     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, CT 06520-8071.
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MeSH Terms
Descriptor/Qualifier:
Acetabulum / injuries*
Adolescent
Adult
Aged
Aged, 80 and over
Evoked Potentials, Somatosensory*
Female
Fractures, Bone / surgery*
Humans
Iatrogenic Disease
Intraoperative Period
Male
Middle Aged
Monitoring, Physiologic / methods
Paralysis / prevention & control*
Pelvic Bones / injuries*
Peripheral Nerves / injuries

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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