Perioperative electro-neurophysiology monitoring guided surgery for 96 children with tethered cord syndrome
10.3760/cma.j.cn115354-20210817-00520
- VernacularTitle:围手术期神经电生理监测下手术治疗96例儿童脊髓栓系综合征报道
- Author:
Xiyun FEI
1
;
Yuxiang LIAO
;
Zhiping ZHANG
;
Jingping LIU
Author Information
1. 中南大学湘雅医院神经外科，长沙 410008
- Keywords:
Tethered cord syndrome;
Tethered cord release;
Electro-neurophysiology monitoring;
Children
- From:
Chinese Journal of Neuromedicine
2021;20(12):1258-1261
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application value of microsurgical tethered cord release in children with tethered cord syndrome under perioperative electro-neurophysiology monitoring.Methods:Ninety-six patients with tethered cord syndrome accepted tethered cord release in our hospital from January 2015 to December 2019 were chosen in our study; perioperative electro-neurophysiology monitoring was performed to evaluate whether there was neurological impairment. The surgical results, neuroelectrophysiological monitoring results, and follow-up results were retrospectively analyzed.Results:In these 96 patients, symptoms disappeared in 45 patients, improved in 34, not improved in 10, worsened in 3, and tethered again in 4 patients, with a total effective rate of 82.6%. No death was noted. Preoperative neuroelectrophysiological monitoring showed abnormal sensory and motor functions of lower limbs in 40 patients, and postoperative monitoring showed abnormal sensory and motor functions of lower limbs in 6 patients. Follow up was performed for an average of 13 months; symptoms improved in 79 patients, stabilized in 10 patients, and aggravated in 7 patients.Conclusion:In children with tethered cord syndrome, tethered cord release should be performed as soon as possible regardless of early neurological injury; perioperative electro-neurophysiology monitoring can protect spinal cord function, prevent nerve function injury, improve the surgical safety and improve the prognosis of these children.
