颈前路椎间孔开放术中体感诱发电位预防神经根损伤

Monitoring of Neurological Damage by Somatosensory Evoked Potentials during Anterior Cervical Foraminotomy

目的:评价术中体感诱发电位监测对预防颈前路椎间孔开放术中神经根损伤的意义。方法:对20例神经根型颈椎病患者行颈前路椎间孔开放术,术中用体感诱发电位(SEP)进行节段性神经根监测。结果:所有患者术后均未发生神经根损伤并发症,症状和体征明显改善。结论:在颈前路椎间孔开放术中,使用SEP监护预防神经根损伤,效果良好。

objective： To evaluate the applicability of somatosensory-evoked potentials （SEPs） monitoring during anterior cervical foraminotomy to reduce the neurological damage. Methods： Recordings of SEPs on 20 patients with cervical spondylotic radiculopathy were made to monitor the function of segmental nerve roots during the anterior cervical foraminotomy. Results： No nerve roots were injured and the signs and symptoms were eased in all the patients. Conclusion： SEPs monitoring of the function of the nerve roots during the anterior cervical foraminotomy is demonstrated to be a satisfied way to avoid the neurological damage.