Neurophysiologic monitoring of surgical interventions after thoracolumbar spine injury
I.E. VALEYEV, G.G. YAFAROVA, E.K. VALEYEV
Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064
Valeyev I.E. — PhD (Medicine), Head of the Department of Neurosurgery № 2, tel. +7-987-296-88-51, e-mail: ekv44@mail.ru
Yafarova G.G. — PhD (Medicine), Leading Researcher of Scientifc-Research Department, tel. (843) 237-35-23, e-mail: gusadila@mail.ru
Valeyev E.K. — D. Med. Sc., Chief Researcher of Scientific-Research Department, tel. +7-987-296-88-52, e-mail: ekv44@mail.ru
The article presents the results of a survey of 45 patients with thoracolumbar spine injury, who underwent surgical treatment using transpedicle devices for instability of the vertebral- motor segment. Polyparametric analysis of neuromuscular apparatus was held using neuromyomyographic diagnostics. The significant regress of neurophysiological indicators on the 10th-14th day after surgery in some patients testified about their transient nature, while worsening indicated the irritation of roots or partial lesion by pedicle screws. The lack of effect of conservative therapy during two weeks is an indicator for re-intervention.
Key words: spinal injury, neurophysiology, transpedicular spondylodesis.
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