Skip to main content
Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1990 Sep;72(5):321–323.

A technique for monitoring evoked potentials during scoliosis and brachial plexus surgery.

S K Anderson 1, B A Loughnan 1, M A Hetreed 1
PMCID: PMC2499203  PMID: 2221769

Abstract

A total of 40 patients undergoing scoliosis or brachial plexus surgery had bipolar electrodes inserted preoperatively in the cervical epidural space located by the 'hanging drop technique'. The angle of approach to the space was different for each spinal interspace used. Good quality recordings were obtained of SSEPs with no long-term complications and we recommend this as a safe technique.

Full text

PDF
321

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Jones S. J., Edgar M. A., Ransford A. O. Sensory nerve conduction in the human spinal cord: epidural recordings made during scoliosis surgery. J Neurol Neurosurg Psychiatry. 1982 May;45(5):446–451. doi: 10.1136/jnnp.45.5.446. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Jones S. J., Edgar M. A., Ransford A. O., Thomas N. P. A system for the electrophysiological monitoring of the spinal cord during operations for scoliosis. J Bone Joint Surg Br. 1983 Mar;65(2):134–139. doi: 10.1302/0301-620X.65B2.6826615. [DOI] [PubMed] [Google Scholar]
  3. Jones S. J., Small D. G. Spinal and sub-cortical evoked potentials following stimulation of the posterior tibial nerve in man. Electroencephalogr Clin Neurophysiol. 1978 Mar;44(3):299–306. doi: 10.1016/0013-4694(78)90305-x. [DOI] [PubMed] [Google Scholar]
  4. Kaplan B. J., Friedman W. A., Alexander J. A., Hampson S. R. Somatosensory evoked potential monitoring of spinal cord ischemia during aortic operations. Neurosurgery. 1986 Jul;19(1):82–90. doi: 10.1227/00006123-198607000-00012. [DOI] [PubMed] [Google Scholar]
  5. Loughnan B. A., King M. J., Grundy E. M., Young D. L., Hall G. M. Effects of halothane on somatosensory evoked potentials recorded in the extradural space. Br J Anaesth. 1989 Mar;62(3):297–300. doi: 10.1093/bja/62.3.297. [DOI] [PubMed] [Google Scholar]
  6. McPherson R. W., Mahla M., Johnson R., Traystman R. J. Effects of enflurane, isoflurane, and nitrous oxide on somatosensory evoked potentials during fentanyl anesthesia. Anesthesiology. 1985 May;62(5):626–633. doi: 10.1097/00000542-198505000-00015. [DOI] [PubMed] [Google Scholar]
  7. Nordwall A., Axelgaard J., Harada Y., Valencia P., McNeal D. R., Brown J. C. Spinal cord monitoring using evoked potentials recorded from feline vertebral bone. Spine (Phila Pa 1976) 1979 Nov-Dec;4(6):486–494. doi: 10.1097/00007632-197911000-00006. [DOI] [PubMed] [Google Scholar]
  8. Nuwer M. R., Dawson E. C. Intraoperative evoked potential monitoring of the spinal cord. A restricted filter, scalp method during Harrington instrumentation for scoliosis. Clin Orthop Relat Res. 1984 Mar;(183):42–50. [PubMed] [Google Scholar]
  9. Tamaki T., Tsuji H., Inoue S., Kobayashi H. The prevention of iatrogenic spinal cord injury utilizing the evoked spinal cord potential. Int Orthop. 1981;4(4):313–317. doi: 10.1007/BF00266075. [DOI] [PubMed] [Google Scholar]
  10. Whittle I. R., Johnston I. H., Besser M. Recording of spinal somatosensory evoked potentials for intraoperative spinal cord monitoring. J Neurosurg. 1986 Apr;64(4):601–612. doi: 10.3171/jns.1986.64.4.0601. [DOI] [PubMed] [Google Scholar]
  11. Wittich D. J., Jr, Berny J. J., Davis R. K. Cervical epidural anesthesia for head and neck surgery. Laryngoscope. 1984 May;94(5 Pt 1):615–619. [PubMed] [Google Scholar]
  12. Youngman P. M., Edgar M. A. Posterior spinal fusion and instrumentation in the treatment of adolescent idiopathic scoliosis. Ann R Coll Surg Engl. 1985 Sep;67(5):313–317. [PMC free article] [PubMed] [Google Scholar]

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England

RESOURCES