| 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 |
Related Documents
:
|
16311209 - A study on visual evoked responses in children with chronic renal failure. 20461019 - Bulbocavernosus reflex and pudendal nerve somatosensory-evoked potentials responses in ... 1690109 - Somatosensory evoked potentials and magnetic resonance imaging in intraspinal neoplasms. 7224589 - Pattern-reversal visual evoked potentials in the hereditary ataxias and spinal degenera... 7104889 - Leukocyte valine dehydrogenase activity in friedreich's ataxia. 3367159 - Somatosensory evoked potentials in patients with hypocalcaemia after parathyroidectomy. 12610809 - Hla antigens may influence the age of onset of psoriasis and psoriatic arthritis. 16311209 - A study on visual evoked responses in children with chronic renal failure. 22359719 - Suppression of mycobacterium tuberculosis induced reactive oxygen species and tumor nec... |
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. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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
Previous Document: Comparison of the Howmedica and Synthes military external fixation frames.
Next Document: Immediate interlocking nailing of fractures of the femur caused by low- to mid-velocity gunshots.