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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
- 2021.9
- 수록면
- 430 - 436 (7page)
- DOI
- 10.14245/ns.2142440.220
이용수
초록· 키워드
오류제보하기
Objective: To review the evidence for the use of electromyography (EMG), motor-evoked potentials (MEPs), and somatosensory-evoked potentials (SSEPs) intraoperative neuromonitoring (IONM) strategies during lateral lumbar interbody fusion (LLIF), as well as discuss the limitations associated with each technique.
Methods: A comprehensive review of the literature and compilation of findings relating to clinical studies investigating the efficacy of EMG, MEP, SSEP, or combined IONM strategies during LLIF.
Results: The evidence for the use of EMG is mixed with some studies demonstrating the efficacy of EMG in preventing postoperative neurologic injuries and other studies demonstrating a high rate of postoperative neurologic deficits with EMG monitoring. Multimodal IONM strategies utilizing MEPs or saphenous SSEPs to monitor the lumbar plexus may be promising strategies based on results from a limited number of studies.
Conclusion: The use of traditional EMG during LLIF remains without consensus. There is a growing body of evidence utilizing multimodal IONM with MEPs or saphenous SSEPs demonstrating a possible decrease in postoperative neurologic injuries after LLIF. Future prospective studies, with clear definitions of neurologic injury, that evaluate different multimodal IONM strategies are needed to better assess the efficacy of IONM during LLIF.
목차
등록된 정보가 없습니다.
참고문헌 (37)
참고문헌 신청
Ozgur BM / 2006 / Extreme lateral interbody fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion / Spine J 6:435~443
Youssef JA / 2010 / Minimally invasive surgery: lateral approach interbody fusion: results and review / Spine 35(26 Suppl):S302~S311
Oliveira L / 2010 / A radiographic assessment of the ability of the extreme lateral interbody fusion procedure to indirectly decompress the neural elements / Spine 35(26 Suppl):S331~S337
Laws CJ / 2012 / Direct lateral approach to lumbar fusion is a biomechanically equivalent alternative to the anterior approach: an in vitro study / Spine 37:819~825
Ploumis A / 2008 / Biomechanical comparison of anterior lumbar interbody fusion and transforaminal lumbar interbody fusion / J Spinal Disord Tech 21:120~125
Youssef JA / 2010 / Minimally invasive surgery: lateral approach interbody fusion: results and review / Spine 35(26 Suppl):S302~S311
Oliveira L / 2010 / A radiographic assessment of the ability of the extreme lateral interbody fusion procedure to indirectly decompress the neural elements / Spine 35(26 Suppl):S331~S337
Laws CJ / 2012 / Direct lateral approach to lumbar fusion is a biomechanically equivalent alternative to the anterior approach: an in vitro study / Spine 37:819~825
Ploumis A / 2008 / Biomechanical comparison of anterior lumbar interbody fusion and transforaminal lumbar interbody fusion / J Spinal Disord Tech 21:120~125
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