The Results of Surgical Treatment of Fixed Syndrome Spinal Cord Caused by Thickened Terminal Thread
Keywords:
Thickened terminal filament, spina bifida, neuromonitoring, fixed spinal cord syndromeAbstract
To evaluate the method of intraoperative electroneurophysiological monitoring during surgery of a thickened terminal thread having an invasive location with nerve tissues. The study included patients from 1 year old with spina bifida, with a thickened terminal filament, with invasive - infiltrative spread into the roots of the spinal cord. Investigated 40 patients from 2010 to 2019. Intraoperative electrophysiological differentiation of the structures of the spinal cord and its roots was carried out in 19 patients (main group) and without it in 21 children (control group). The use of the technique of intraoperative identification of nerve roots in the surgery of the fixed spinal cord syndrome caused by the terminal thread allows in the early postoperative period to reduce the likelihood of the appearance and aggravation of neurological disorders by 1.5 times. The operational time spent on preparation and identification in the monitoring process is compensated by the ability to determine the maximum permissible radicality without significant damage to the health of children.
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