Quantitative characterization of risk of iatrogenic damage to pyramidal tracts based on data of intraoperative neuromonitoring during surgical correction of spinal deformities

Saifutdinov M.S.; Ryabykh S.O.; Savin D.M.; Tretiakova A.N.

doi:https://doi.org/10.17116/neiro20198304156

Saifutdinov M.S.

Russian Ilizarov Scientific Center Restorative Traumatology and Orthopaedics of the Ministry of Health of Russia, 640014, Kurgan, Russia

Ryabykh S.O.

Russian Ilizarov Scientific Center Restorative Traumatology and Orthopaedics of the Ministry of Health of Russia, 640014, Kurgan, Russia

Savin D.M.

Federal State Budgetary Institution Russian Ilizarov Scientific Center 'Restorative Traumatology and Orthopaedics', Kurgan, Russia

Tretiakova A.N.

Russian Ilizarov Scientific Center Restorative Traumatology and Orthopaedics of the Ministry of Health of Russia, 640014, Kurgan, Russia

Quantitative characterization of risk of iatrogenic damage to pyramidal tracts based on data of intraoperative neuromonitoring during surgical correction of spinal deformities

Authors:

Saifutdinov M.S., Ryabykh S.O., Savin D.M., Tretiakova A.N.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2019;83(4): 56‑63

DOI: 10.17116/neiro20198304156

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To cite this article:

Saifutdinov MS, Ryabykh SO, Savin DM, Tretiakova AN. Quantitative characterization of risk of iatrogenic damage to pyramidal tracts based on data of intraoperative neuromonitoring during surgical correction of spinal deformities. Burdenko's Journal of Neurosurgery. 2019;83(4):56‑63. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20198304156

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)

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Abstract:

Objective — development of a quantitative indicator for the risk level of intraoperative iatrogenic motor disorders in the process of surgical correction of spinal deformity based on current neurophysiological monitoring data. Material and methods. 288 patients 12.6±0.35 y.o. underwent surgical correction of spinal deformities under the control of intraoperative neuromonitoring. The nature of changes in motor evoked potentials was assessed according to the earlier proposed ranking scale. The incidence of different variants of changes in the rank values of the state of the pyramidal system during the operation and the resulting postoperative motor disturbances was calculated. Results. By comparing probabilities of various changes in the conduction properties of pyramidal tracts during surgery with the incidence of the observed motor deficiencies we quantitatively assessed the possible correlation between these phenomena. We propose a method for calculating the risk index for postoperative motor disorders depending on the maximum rank of the pyramidal system’s response to surgical aggression. Conclusion. The developed system of ranking evaluation of changes in motor evoked potentials during surgical correction of spinal deformity makes it possible to quantify the risk of postoperative motor disorders and, accordingly, to monitor the level of anxiety for a neurosurgeon during individual stages of surgical intervention.

Keywords:

spinal deformity

spinal surgery

intraoperative neuro-monitoring

somatic motor system

neurological complications

Authors:

Saifutdinov M.S.

Russian Ilizarov Scientific Center Restorative Traumatology and Orthopaedics of the Ministry of Health of Russia, 640014, Kurgan, Russia

Ryabykh S.O.

Russian Ilizarov Scientific Center Restorative Traumatology and Orthopaedics of the Ministry of Health of Russia, 640014, Kurgan, Russia

Savin D.M.

Federal State Budgetary Institution Russian Ilizarov Scientific Center 'Restorative Traumatology and Orthopaedics', Kurgan, Russia

Tretiakova A.N.

Russian Ilizarov Scientific Center Restorative Traumatology and Orthopaedics of the Ministry of Health of Russia, 640014, Kurgan, Russia

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