alexa The Spinal Cord Pyramidal Structures Reaction to Intraoperative Instrumental Correction of Spine Deformity | Open Access Journals
ISSN: 2165-7939
Journal of Spine
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on
Medical, Pharma, Engineering, Science, Technology and Business

The Spinal Cord Pyramidal Structures Reaction to Intraoperative Instrumental Correction of Spine Deformity

Shein AP*, Krivoruchko GA and Ryabykh SO
Federal State Budgetary Institution “Russian Ilizarov Scientific Center "Restorative Traumatology and Orthopaedics" of Ministry of Healthcare, the Russian Federation, Kurgan, Russia
*Corresponding Author : Alexander Shein
Federal State Budgetary Institution “Russian Ilizarov Scientific Center
"Restorative Traumatology and Orthopaedics"
of Ministry of Healthcare, the Russian Federation
6 M.Ulyanova street, Kurgan, 640014, Russia
Tel: +7 (3522) 45-47-58
E-mail: [email protected]
Rec date: Mar 04, 2016; Acc date: Mar 08, 2016; Pub date: Mar 10, 2016
Citation: Shein, et al (2016) The Spinal Cord Pyramidal Structures Reaction to Intraoperative Instrumental Correction of Spine Deformity. J Spine 2016, 5:2. doi: 10.4172/2165-7939.1000292
Copyright: © 2016 Shein AP, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Visit for more related articles at Journal of Spine

Abstract

The aim of this study was electroneuromyographic evaluation of the spinal cord pyramidal structures reactivity when performing the onestage (intraoperative) instrumental correction of spinal deformities of various etiologies and severity, achieved through immersion transpedicular fixation systems.

Keywords
Reactivity; Eectroneuromyography; Spinal cord; Spine deformity
Introduction
The aim of this study was electroneuromyographic evaluation of the spinal cord pyramidal structures reactivity when performing the onestage (intraoperative) instrumental correction of spinal deformities of various etiologies and severity, achieved through immersion transpedicular fixation systems.
Materials and Methods
Before treatment and 4-31 (9.6 ± 0.3) days after surgery using methods of global (surface) and stimulation (M-responses) electroneuromyography were examined 135 patients 8-50 (16.4 ± 0.6) years (42 male, 93 female) with spinal deformities of various etiologies and severity. The intraoperative maximum angle correction of the spinal column, performed under intraoperative neurophysiological monitoring, ranged from 3° to 95° (37.2 ± 1.5°). To assess the reactivity of the spinal cord structures located at the top of the primary deformation arc, was used integral indicator - the index of sensorimotor deficit (ISD) [1], calculated by the combination of EMG indicators of the left and right lower extremities muscles and expressed as an averaged percentage from normal values.
Results and Discussion
The lowest ISD values and most distinct postoperative negative trends of this indicator were observed in individuals with gross spine deformities of the neuromuscular etiology. Found in 80 patients (59.26%) subclinical functional changes in the neuromotor system of the lower extremities, as reflected in the reduction of the ISD can be interpreted as a light ischaemic disturbances of the conductorintegrative functions of the spinal cord (the result of the one-step anatomo-biomechanical change in the «spinel column - spinal cord» system). Registered in 51 (37.8%) patients "paradoxical" (positive) trend of postoperative ISD, presumably due to partial normalization of peri- and intramedullary blood flow at the top of the spine deformity. Study of microcirculation in spinal arachnoid revealed that correction of relatively light scoliosis improved the indices of microcirculation [2]. In 4 patients (2.96%) in the postoperative period was marked by significant (atypical) ISD decrease, correlating with clinical signs of development of neurological deficits. This fact indicates that the possibility of intraoperative neuromonitoring, as a means of preventing iatrogenic damage of the spinal cord structures during the performance of complex surgical interventions on the spine, still not fully exhausted and this method needs further development and improvement.
Conclusion
Đžbtained data allow concluding that applied in Ilizarov centre methods of spinal deformity correction based on the using of transpedicular fixation submersible systems, despite the large-scale surgery and the risks of neurological complications, characterized by a low traumatism in relation to the spinal cord pyramidal structures. However, this fact does not preclude the necessity of using in more than 50% of cases specialized neuro rehabilitation therapy in the postoperative period and in accordance with the severity of postoperative sensorimotor disorders.
References
Select your language of interest to view the total content in your interested language
Post your comment

Share This Article

Relevant Topics

Recommended Conferences

  • 18th Global Neurologists Annual Meeting on Neurology and Neurosurgery
    Nov 13-15, 2017, Athens, Greece
  • 2nd International Conference on Pediatric Neurology  
    August 31-September 01, 2017 Prague, Czech Republic
  • 12th Global Neurologists Annual Meeting on Neurology and Neurosurgery
    November 16-18, 2017 Lisbon, Portugal

Article Usage

  • Total views: 8062
  • [From(publication date):
    April-2016 - Oct 21, 2017]
  • Breakdown by view type
  • HTML page views : 7963
  • PDF downloads :99
 

Post your comment

captcha   Reload  Can't read the image? click here to refresh

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords