Intraoperative neurophysiological monitoring during surgery for tethered cord syndrome in pediatrics: a report of 11 cases

VernacularTitle:神经电生理监测在儿童脊髓栓系综合征手术中的应用
Author: Chaoqiang XUE ¹ ; Yuqi ZHANG ; Jianjun BAI ; Lei YANG ; Tao JIANG
Author Information

1. 100050,北京市神经外科研究所
Keywords: Tethered cord syndrome; Intraoperative neurophysiological monitoring; Child; Neurosurgical procedure
From: Chinese Journal of Neuromedicine 2014;13(1):73-75
CountryChina
Language:Chinese
Abstract: Objective To study the value of intraoperative neurophysiological monitoring (IONM) in microsurgical detethering of patients diagnosed as having tethered cord syndrome (TCS).Methods A retrospective analysis of the clinical data,IONM results and prognosis of 11 patients with TCS,admitted to our hospital from January 2007 to December 2010,was performed to explore the protective role of IONM in microsurgical detethering of TCS.Results IONM responses could be obtained in all patients.Postoperative deterioration of symptoms was found in two patients one day after surgery.At discharge,10 patients got improvement with only one having deterioration of symptoms.Follow-up was performed for 1.5-5.5 years; long-term deterioration of symptoms was found in only one patients.Conclusion IONM can protect the spinal cord function,prevent neurological damage,improve the safty and improve life quality of the patients.