The Usefulness of Intraoperative Neurophysiological Monitoring in Cervical Spine Surgery

2012 ◽  
Vol 24 (3) ◽  
pp. 185-190 ◽  
Author(s):  
Fenghua Li ◽  
Reza Gorji ◽  
Geoffrey Allott ◽  
Katharina Modes ◽  
Robert Lunn ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Intraoperative Neurophysiological Monitoring ◽  
Neurophysiological Monitoring ◽  
Cervical Spine Surgery

Role of multimodal intraoperative neurophysiological monitoring during positioning of patient prior to cervical spine surgery

2015 ◽  
Vol 126 (6) ◽  
pp. 1264-1270 ◽  
Author(s):  
Julio Plata Bello ◽  
Pedro Javier Pérez-Lorensu ◽  
Héctor Roldán-Delgado ◽  
Liberto Brage ◽  
Verónica Rocha ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Intraoperative Neurophysiological Monitoring ◽  
Neurophysiological Monitoring ◽  
Cervical Spine Surgery

scholarly journals Effect of Buprenorphine on Total Intravenous Anesthetic Requirements During Spine Surgery

2015 ◽  
Vol 2;18 (2;3) ◽  
pp. E261-E264
Author(s):  
Yury Khelemsky
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Spine Surgery ◽  
Volatile Anesthetic ◽  
Total Intravenous Anesthesia ◽  
Neurophysiological Monitoring ◽  
Intravenous Anesthesia ◽  
Cervical Spine Surgery ◽  
Initial Surgery ◽  
Receptor Sites

Buprenorphine is a partial mu receptor agonist and kappa/delta antagonist commonly used for the treatment of opioid dependence or as an analgesic. It has a long plasma halflife and a high binding affinity for opioid receptors. This affinity is so high, that the effects are not easily antagonized by competitive antagonists, such as naloxone. The high affinity also prevents binding of other opioids, at commonly used clinical doses, to receptor sites – preventing their analgesic and likely minimum alveolar concentration (MAC) reducing benefits. This case report contrasts the anesthetic requirements of a patient undergoing emergency cervical spine surgery while taking buprenorphine with anesthetic requirements of the same patient undergoing a similar procedure after weaning of buprenorphine. Use of intraoperative neurophysiological monitoring prevented use of paralytics and inhalational anesthetics during both cases, therefore total intravenous anesthesia (TIVA) was maintained with propofol and remifentanil infusions. During the initial surgery, intraoperative patient movement could not be controlled with very high doses of propofol and remifentanil. The patient stopped moving in response to surgical stimulation only after the addition of a ketamine. Buprenorphine-naloxone was discontinued postoperatively. Five days later the patient underwent a similar cervical spine surgery. She had drastically reduced anesthetic requirements during this case, suggesting buprenorphine’s profound effect on anesthetic dosing. This case report elegantly illustrates that discontinuation of buprenorphine is likely warranted for patients who present for major spine surgery, which necessitates the avoidance of volatile anesthetic and paralytic agents. The addition of ketamine may be necessary in patients maintained on buprenorphine in order to ensure a motionless surgical field. Key words: Buprenorphine, anesthesiology, intraoperative, total intravenous anesthesia, pharmacology

Application of Smith-Robinson approach for C2/3 cervical spine surgery

2013 ◽  
Vol 32 (11) ◽  
pp. 1199-1202
Author(s):  
Ying ZHANG ◽  
Jun MA ◽  
Yuan-yuan CHEN ◽  
Xin-wei WANG ◽  
De-yu CHEN ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Cervical Spine Surgery

scholarly journals Impact of Diabetes Mellitus on Cervical Spine Surgery for Ossification of the Posterior Longitudinal Ligament

2021 ◽  
Vol 10 (15) ◽  
pp. 3375
Author(s):  
Atsushi Kimura ◽  
Katsushi Takeshita ◽  
Toshitaka Yoshii ◽  
Satoru Egawa ◽  
Takashi Hirai ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Cervical Spine ◽  
Postoperative Complications ◽  
Spine Surgery ◽  
Posterior Longitudinal Ligament ◽  
Lower Extremity Function ◽  
Cervical Spine Surgery ◽  
The Impact

Ossification of the posterior longitudinal ligament (OPLL) is commonly associated with diabetes mellitus (DM); however, the impact of DM on cervical spine surgery for OPLL remains unclear. This study was performed to evaluate the influence of diabetes DM on the outcomes following cervical spine surgery for OPLL. In total, 478 patients with cervical OPLL who underwent surgical treatment were prospectively recruited from April 2015 to July 2017. Functional measurements were conducted at baseline and at 6 months, 1 year, and 2 years after surgery using JOA and JOACMEQ scores. The incidence of postoperative complications was categorized into early (≤30 days) and late (>30 days), depending on the time from surgery. From the initial group of 478 patients, 402 completed the 2-year follow-up and were included in the analysis. Of the 402 patients, 127 (32%) had DM as a comorbid disease. The overall incidence of postoperative complications was significantly higher in patients with DM than in patients without DM in both the early and late postoperative periods. The patients with DM had a significantly lower JOA score and JOACMEQ scores in the domains of lower extremity function and quality of life than those without DM at the 2-year follow-up.

P97. Correlation of UIV and cervical spine surgery to functional outcomes in AIS: a minimum 40-years follow-up

2020 ◽  
Vol 20 (9) ◽  
pp. S193
Author(s):  
Aron Sulovari ◽  
Adan Omar ◽  
Emmanuel N. Menga ◽  
Paul T. Rubery ◽  
James Sanders ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Functional Outcomes ◽  
Cervical Spine Surgery

scholarly journals Transient brain stem ischemia following cervical spine surgery: An unusual cause of delayed recovery

2014 ◽  
Vol 30 (3) ◽  
pp. 432 ◽  
Author(s):  
Nirmala Jonnavithula ◽  
Kavya Cherukuri ◽  
Padmaja Durga ◽  
DilipKumar Kulkarni ◽  
Vijayasaradhi Mudumba ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Brain Stem ◽  
Spine Surgery ◽  
Cervical Spine Surgery ◽  
Delayed Recovery ◽  
Brain Stem Ischemia

Delayed pharyngo-oesophageal perforation after anterior cervical spine surgery

2020 ◽  
Vol 66 (5) ◽  
pp. 414-416
Author(s):  
V. Poissonnet ◽  
V. Lubrano ◽  
A. Sadeler ◽  
E. Chabrillac
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Oesophageal Perforation ◽  
Cervical Spine Surgery ◽  
Anterior Cervical Spine Surgery

Anesthesia and Perioperative Care in Cervical Spine Surgery

2016 ◽  
pp. 57-72
Author(s):  
Chierichini Angelo ◽  
Santoprete Stefano ◽  
Frassanito Luciano
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Perioperative Care ◽  
Cervical Spine Surgery
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